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Organization

SUSAN B ALLEN MEMORIAL HOSPITAL

Active
Other names
Susan B. Allen Memorial Hospital Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA HALL (CEO)
(316) 322-4558
Entity
Organization

Contact information

Practice address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 322-4540
(316) 321-4912
Mailing address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-3300
(316) 321-4810

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000481
BLUE CROSS BLUE SHIELD
KS
05
100088620C
KS
01
657930
FIRST GUARD
KS
Enumeration date
09/05/2006
Last updated
05/16/2024
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