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Organization

NEOSHO MEMORIAL REGIONAL MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN K TINSLEY (CFO)
(620) 431-4000
Entity
Organization

Contact information

Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 431-4000
(620) 431-7556
Mailing address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 431-4000
(620) 431-7556

Taxonomy

Speciality
Code
Description
License number
State
364SE0003X
Emergency Clinical Nurse Specialist
76903
KS
364SF0001X
Family Health Clinical Nurse Specialist
Primary
76903
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
76903
STATE LICENSE
KS
Enumeration date
09/02/2015
Last updated
10/25/2024
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