Organization
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Active
Parent organization
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Other names
Satanta Long Term Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Authorized official
TINA PENDERGRAFT (ADMINISTRATOR)
(620) 649-2761
Entity
Organization
Contact information
Practice address
401 CHEYENNE STREET, SATANTA, KS 67870-0159
(620) 649-2761
(620) 649-2776
Mailing address
PO BOX 159, SATANTA, KS 67870-0159
(620) 649-2761
(620) 649-2776
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1040568501
KS
314000000X
Skilled Nursing Facility
1040568501
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107120A
—
KS
01
—
1040568501
STATE PROVIDER #
KS
01
—
17E356
FEDERAL PROVIDER #
KS
01
—
H041001
STATE LICENSE FOR HOSPITA
KS
Enumeration date
05/19/2006
Last updated
08/29/2025
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