Organization
SOUTHWEST MEDICAL CENTER
Active
Parent organization
SOUTHWEST MEDICAL CENTER
Other names
Skilled Nursing Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST MEDICAL CENTER
Authorized official
MR. WILLIAM ERMANN (CEO/ADMINISTRATOR)
(620) 629-6400
Entity
Organization
Contact information
Practice address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 624-1651
(620) 629-2472
Mailing address
315 W 15TH STREET, PO BOX 1340, LIBERAL, KS 67905-1340
(620) 624-1651
(620) 629-2472
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
175163
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118
BCBS
KS
Enumeration date
06/16/2006
Last updated
12/12/2014
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