Organization
SUSAN B. ALLEN MEMORIAL HOSPITAL
Active
Other names
Susan B. Allen Memorial Hospital Home Medical Equipment
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) 322-4549
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100009270A
—
KS
01
—
48582
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/21/2006
Last updated
05/16/2024
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