Organization
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Active
Other names
Satanta District Hospital Clinic-Sublette
Organization subpart
No
Provider details
NPI number
Authorized official
TINA PENDERGRAFT (ADMINISTRATOR)
(620) 649-2761
Entity
Organization
Contact information
Practice address
301 S. DERBY, SUBLETTE, KS 67877-0398
(620) 675-2686
(620) 675-2236
Mailing address
PO BOX 159, SATANTA, KS 67870-0159
(620) 675-2686
(620) 675-2236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
H-041-001
KS
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262260A
—
KS
01
—
OO1272
BLUE CROS PROVIDER #
KS
Enumeration date
05/17/2006
Last updated
08/29/2025
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