Organization
SOUTHWEST MEDICAL CENTER
Active
Parent organization
SOUTHWEST MEDICAL CENTER
Other names
Southwest Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST MEDICAL CENTER
Authorized official
DELANY FAWKES (CFO/VP OF FINANCE)
(620) 629-6300
Entity
Organization
Contact information
Practice address
324 W 18TH ST, LIBERAL, KS 67901-2466
(620) 629-6878
(620) 629-2472
Mailing address
324 W 18TH STREET, PO BOX 1340, LIBERAL, KS 67905-1340
(620) 629-6878
(620) 629-2472
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18512
BLUESHIELD
KS
01
—
18516
BLUESHIELD
OK
Enumeration date
06/08/2006
Last updated
03/26/2008
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