| Usd443 | |
|
1000 2nd Dodge City KS 67801-0460 | |
| (620) 227-1621 | |
| (620) 227-1774 |
| Full Name | Usd443 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1000 2nd, Dodge City, Kansas |
| Authorized Official Name and Position | William R Hammond (DIRECTOR OF BUSINESS) |
| Authorized Official Contact | 6202271621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Usd443 1000 2nd Dodge City KS 67801-0460 Ph: (620) 227-1621 | Usd443 1000 2nd Dodge City KS 67801-0460 Ph: (620) 227-1621 |
| NPI Number | 1518292192 |
|---|---|
| Provider Enumeration Date | 10/15/2009 |
| Last Update Date | 10/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518292192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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