| Satanta District Hospital Clinic-sublette | |
|
301 S. Derby Sublette KS 67877-0398 | |
| (620) 675-2686 | |
| (620) 675-2236 |
| Full Name | Satanta District Hospital Clinic-sublette |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 S. Derby, Sublette, Kansas |
| Authorized Official Name and Position | Jeremy Clingenpeel (ADMINISTRATOR) |
| Authorized Official Contact | 6206492761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Satanta District Hospital Clinic-sublette Po Box 398 Sublette KS 67877-0398 Ph: (620) 675-2686 | Satanta District Hospital Clinic-sublette 301 S. Derby Sublette KS 67877-0398 Ph: (620) 675-2686 |
| NPI Number | 1881646735 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 05/08/2014 |
| Medicare PECOS PAC ID | 5991616054 |
|---|---|
| Medicare Enrollment ID | O20030922000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881646735 | NPI | - | NPPES |
| 100262260A | Medicaid | KS | |
| OO1272 | Other | KS | BLUE CROS PROVIDER # |
Satanta District Hospital Clinic-non Rural Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Derby, Sublette, KS 67877 Phone: 620-675-2686 Fax: 620-675-2236 |