Organization
SOUTHWEST MEDICAL CENTER
Active
Parent organization
SOUTHWEST MEDICAL CENTER DBA CANUCK MEDICAL CLINIC
Other names
Canuck Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST MEDICAL CENTER DBA CANUCK MEDICAL CLINIC
Authorized official
MR. NORMAN T LAMBERT (CEO/PRESIDENT)
(620) 624-1651
Entity
Organization
Contact information
Practice address
1411 W. 15TH STREET, STE. 102, LIBERAL, KS 67901
(620) 624-0142
(620) 624-0142
Mailing address
PO BOX 188, LIBERAL, KS 67905
(620) 624-0142
(620) 624-2660
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
KS
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
03/17/2010
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