Usd443 | |
1000 2nd Dodge City KS 67801-0460 | |
(620) 227-1621 | |
(620) 227-1774 |
Full Name | Usd443 |
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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 |
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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 |
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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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