| Southwest Medical Center Psychiatric Facility | |
|
315 W 15th Street Liberal KS 67901-2455 | |
| (620) 624-1651 | |
| (620) 629-2474 |
| Full Name | Southwest Medical Center Psychiatric Facility |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 315 W 15th Street, Liberal, Kansas |
| Authorized Official Name and Position | Delany Fawkes (CFO/VP OF FINANCE) |
| Authorized Official Contact | 6206296300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Center Psychiatric Facility 315 W 15th Street Po Box 1340 Liberal KS 67905-1340 Ph: (620) 624-1651 | Southwest Medical Center Psychiatric Facility 315 W 15th Street Liberal KS 67901-2455 Ph: (620) 624-1651 |
| NPI Number | 1447294145 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 09/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447294145 | NPI | - | NPPES |
| 000812 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Kansas) | Primary |
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