Organization
COMMONSPIRIT KANSAS, INC.
Active
Other names
St Catherine Hospital, Pediatrics Dodge City, SCDC PEDIATRICS, CommonSpirit Pediatrics Dodge City
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JO SKINNER (ADMINISTRATOR)
(720) 667-7283
Entity
Organization
Contact information
Practice address
100 W ROSS BLVD STE 1B, DODGE CITY, KS 67801-7217
(620) 371-5576
(620) 371-5006
Mailing address
PO BOX 803929, KANSAS CITY, MO 64180-3929
(888) 347-3295
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003913010044
—
KS
Enumeration date
12/28/2022
Last updated
06/05/2025
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