Organization
CITY OF GALENA-KANSAS
Active
Other names
Premier Surgical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M CAPUTO (CHIEF EXECUTIVE OFFICER)
(620) 783-4614
Entity
Organization
Contact information
Practice address
1619 K 66, GALENA, KS 66739
(620) 783-1732
(620) 783-1733
Mailing address
1619 K 66, GALENA, KS 66739
(620) 783-1732
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H-011-003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201076530A
—
KS
Enumeration date
10/15/2012
Last updated
03/31/2016
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