Organization
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up