Organization
HOSPITAL DISTRICT NO 1 MARION CO
Active
Other names
St Luke Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX HAINES (CEO)
(620) 382-2177
Entity
Organization
Contact information
Practice address
537 S FREEBORN ST, MARION, KS 66861-1243
(620) 382-2177
(620) 382-9104
Mailing address
535 S FREEBORN ST, MARION, KS 66861-1256
(620) 382-2177
(620) 382-9104
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H057003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00225
BLUE CROSS
KS
01
—
111145
MEDICARE PROFESSIONAL
KS
01
—
17-1356
MEDICARE
KS
05
—
20029870C
—
KS
Enumeration date
01/07/2008
Last updated
01/18/2024
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