Organization
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Active
Parent organization
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Other names
Satanta Retail Pharmacy
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
410 CHEYENNE, SATANTA, KS 67870-8748
(620) 649-2450
(620) 649-2959
Mailing address
PO BOX 159, SATANTA, KS 67870-0159
(620) 649-2761
(620) 649-2776
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-09186
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051144
BLUE CROSS #
KS
05
—
100080490E
—
KS
05
—
100080490F
—
KS
01
—
1711476
NCPDP#
KS
Enumeration date
06/08/2006
Last updated
08/29/2025
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