Organization
MEDICINE LODGE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY TAYLOR (ADMINISTRATOR)
(620) 886-3771
Entity
Organization
Contact information
Practice address
710 N. WALNUT ST., DRAWER 'C', MEDICINE LODGE, KS 67104-1019
(620) 886-3771
(620) 886-5012
Mailing address
710 N. WALNUT ST., DRAWER 'C', MEDICINE LODGE, KS 67104-1019
(620) 886-3771
(620) 886-5012
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
HS004002
KS
Other
Enumeration date
10/11/2006
Last updated
07/02/2024
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