Organization
MINNEOLA DISTRICT HOSPITAL NBR 2
Active
Parent organization
MINNEOLA DISTRICT HOSPITAL
Other names
Dodge City Family Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNEOLA DISTRICT HOSPITAL
Authorized official
DEBORAH BRUNER (CEO)
(620) 885-4264
Entity
Organization
Contact information
Practice address
2200 SUMMERLON CIR STE A, DODGE CITY, KS 67801-2905
(620) 371-7300
(620) 371-7304
Mailing address
PO BOX 127, MINNEOLA, KS 67865-0127
(620) 885-4264
(620) 885-4602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
H013002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000455
BLUE CROSS RHC
KS
05
—
100010520B
—
KS
05
—
100010520F
—
KS
01
—
110486
BLUE SHIELD
KS
Enumeration date
10/19/2006
Last updated
06/26/2025
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