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Organization

METHODIST HOSPITAL ASSOCIATION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMARA SANDS (BUSINESS OFFICE MANAGER)
(620) 227-8551
Entity
Organization

Contact information

Practice address
510 W FRONTVIEW ST, DODGE CITY, KS 67801-2213
(620) 227-8551
(620) 225-8630
Mailing address
510 W FRONTVIEW ST, DODGE CITY, KS 67801-2213
(620) 227-8551
(620) 225-8630

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
N029001
KS
314000000X
Skilled Nursing Facility
Primary
N029001
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100009660B
KS
05
100108190A
KS
01
1278
BCBS KS
KS
Enumeration date
10/05/2005
Last updated
08/20/2012
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