Organization
DODGE CITY FAMILY PLANNING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA DEMUTH ARNP (CLINIC EXECUTIVE DIRECTOR)
(620) 225-1933
Entity
Organization
Contact information
Practice address
811 N 2ND AVE, DODGE CITY, KS 67801-4412
(620) 225-1933
(620) 225-1933
Mailing address
811 N 2ND AVE, DODGE CITY, KS 67801-4412
(620) 225-1933
(620) 225-1933
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
1100285
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097890A
—
KS
01
—
160220
BLUE CROSS/BLUE SHIELD
KS
Enumeration date
06/18/2008
Last updated
06/18/2008
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