Organization
MEDICINE LODGE MEMORIAL HOSPITAL
Active
Other names
Medicine Lodge Memorial Hospital Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY TAYLOR (ADMINISTRATOR)
(620) 886-3771
Entity
Organization
Contact information
Practice address
710 N WALNUT ST, DRAWER 'C', MEDICINE LODGE, KS 67104-1019
(620) 886-3771
(620) 886-5012
Mailing address
710 N WALNUT ST, DRAWER 'C', MEDICINE LODGE, KS 67104-1019
(620) 886-3771
(620) 886-5012
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
H004002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092110D
—
KS
Enumeration date
09/07/2006
Last updated
07/02/2024
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