Organization
DODGE CITY HEALTHCARE GROUP LLC
Active
Other names
Western Plains Medical Complex
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
3001 AVENUE A, DODGE CITY, KS 67801-2270
(620) 225-8401
(620) 225-8403
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
H029002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000555
BLUE CROSS
KS
05
—
100098790A
—
KS
05
—
10009879B
—
KS
01
—
110037
BC PROFESSIONAL FEES
KS
01
—
634280
FIRST GUARD
KS
Enumeration date
09/28/2006
Last updated
04/26/2022
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