Organization
COUNTY OF STAFFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS E TOMPKINS RN (ADMIN)
(620) 549-3504
Entity
Organization
Contact information
Practice address
610 E 1ST AVE, SAINT JOHN, KS 67576-2224
(620) 549-3504
(620) 549-6593
Mailing address
610 E 1ST AVE, SAINT JOHN, KS 67576-2224
(620) 549-3504
(620) 549-6593
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097810A
—
KS
Enumeration date
06/02/2006
Last updated
11/14/2008
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