Organization
MEDICINE LODGE COMMUNITY HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. V. SUZANNE LEE (EXECUTIVE DIRECTOR)
(620) 930-2072
Entity
Organization
Contact information
Practice address
701 N WALNUT ST, DRAWER 'C', MEDICINE LODGE, KS 67104-1018
(620) 886-3771
(620) 886-5012
Mailing address
701 N WALNUT ST, DRAWER 'C', MEDICINE LODGE, KS 67104-1018
(620) 886-3771
(620) 886-5012
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
HS004002
KS
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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