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Organization

SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE

Active
Parent organization
SATANTA DISTRICT HOSPITAL AND LONG TERM CARE
Other names
Satanta District Hospital--DME
Organization subpart
Yes

Provider details

NPI number
Legal business name
SATANTA DISTRICT HOSPITAL AND LONG TERM CARE
Authorized official
TINA PENDERGRAFT (ADMINISTRATOR)
(620) 649-2761
Entity
Organization

Contact information

Practice address
401 CHEYENNE STREET, SATANTA, KS 67870-0159
(620) 649-2761
(620) 649-2776
Mailing address
PO BOX 159, SATANTA, KS 67870-0159
(620) 649-2761
(620) 649-2776

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
H041001
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007599
BLUE CROSS PHARMACY DME #
KS
05
100080490F
KS
01
118051
BLUE CROSS DME NUMBER
KS
05
6215711601
KS
Enumeration date
09/29/2006
Last updated
08/29/2025
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