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Organization

SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE

Active
Other names
Satanta District Hospital Clinic-Satanta
Organization subpart
No

Provider details

NPI number
Authorized official
TINA PENDERGRAFT (ADMINISTRATOR)
(620) 649-2761
Entity
Organization

Contact information

Practice address
410 CHEYENNE, SATANTA, KS 67870-8748
(620) 649-2771
(620) 649-2538
Mailing address
PO BOX 159, SATANTA, KS 67870-0159
(620) 649-2771
(620) 649-2538

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
H-041-001
KS
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100080490B
KS
05
100262240A
KS
01
OO1326
BLUE CROSS #
KS
Enumeration date
05/17/2006
Last updated
08/29/2025
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