| Satanta District Hospital Clinic-non Rural Health | |
|
301 S Derby Sublette KS 67877-0398 | |
| (620) 675-2686 | |
| (620) 675-2236 |
| Full Name | Satanta District Hospital Clinic-non Rural Health |
|---|---|
| Speciality | Family Medicine |
| Location | 301 S Derby, Sublette, Kansas |
| Authorized Official Name and Position | Tina Pendergraft (ADMINISTRATOR) |
| Authorized Official Contact | 6206492761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Satanta District Hospital Clinic-non Rural Health Po Box 398 Sublette KS 67877-0398 Ph: (620) 675-2686 | Satanta District Hospital Clinic-non Rural Health 301 S Derby Sublette KS 67877-0398 Ph: (620) 675-2686 |
| NPI Number | 1073706255 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073706255 | NPI | - | NPPES |
| 110229 | Other | KS | MEDICARE NON RURAL HEALTH |
| 110229 | Other | KS | NON RURAL HEALTH NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | HO41001 (Kansas) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
Satanta District Hospital Clinic-sublette Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S. Derby, Sublette, KS 67877 Phone: 620-675-2686 Fax: 620-675-2236 |