MEDICINE LODGE MEMORIAL HOSPITAL PHYSICIANS CLINC (NPI# 1831208701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831208701 |
| Entity Type | Organization |
| Organization Name | MEDICINE LODGE MEMORIAL HOSPITAL PHYSICIANS CLINC |
| Practice Address |
701 N Walnut St Drawer 'c' Medicine Lodge KS 67104-1018 |
| Mailing Address |
701 N. Walnut Street Drawer 'c' Medicine Lodge KS 67104-1018 |
| Practice Telephone | 6208863771 |
| Practice Fax Number | 6208865012 |
| Mailing Telephone | 6208863771 |
| Mailing Fax Number | 6208865012 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN A WHITE (ADMINISTRATOR) |
| Authorized Official Telephone | 6208863771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
HS004002 | KS | Ambulatory Health Care Facilities |
| Street Address |
701 N WALNUT ST DRAWER 'C' |
| City | MEDICINE LODGE |
| State | KS |
| Zip Code | 67104-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407887193 | Medicine Lodge Memorial Hospital | General Acute Care Hospital | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-05 |
| 1750437463 | Medicine Lodge Community Health Foundation | Respite Care | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2007-01-26 |
| 1902822075 | Medicine Lodge Memorial Hospital | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-14 |
| 1285669929 | Medicine Lodge Memorial Hospital | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-11 |
| 1114952975 | Medicine Lodge Memorial Hospital | Medicare Defined Swing Bed Unit | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720132715 | Maydew Thibault Optometry LLC | Optometrist | 604 N Walnut, Medicine Lodge, KS 67104 | 2007-01-23 |
| 1609200682 | Freeman Pharmacy LLC | Pharmacy | 126 N Main St, Medicine Lodge, KS 67104 | 2013-08-27 |
| 1013004225 | J C H Consulting Inc | Durable Medical Equipment & Medical Supplies | 126 N Main St, Medicine Lodge, KS 67104 | 2006-10-07 |
| 1083702369 | Medicine Lodge Memorial Hospital | Clinic/Center | 710 N. Walnut St., Drawer 'c', Medicine Lodge, KS 67104-1019 | 2006-10-11 |
| 1538135389 | Patricia Mcnamar | Nurse Practitioner | 710 N Walnut St, Medicine Lodge, KS 67104-1019 | 2006-02-23 |
| 1508398637 | Megan Nelson | Nurse Practitioner | 710 N Walnut St, Medicine Lodge, KS 67104-1019 | 2017-03-29 |
| 1407288640 | Christopher P. Martin | Registered Nurse | 710 N Walnut St, Medicine Lodge, KS 67104-1019 | 2013-07-30 |
| 1831287291 | Medicine Lodge Memorial Hospital | Nurse Anesthetist, Certified Registered | 710 N. Walnut St., Drawer 'c', Medicine Lodge, KS 67104-1019 | 2006-10-11 |
| 1609979004 | Medicine Lodge Memorial Hospital | Ambulance | 710 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1019 | 2006-09-07 |
| 1154436251 | Donald R. Ransom | Surgery | 710 N Walnut St, Medicine Lodge, KS 67104-1019 | 2006-08-20 |
| Find all providers in zip 67104 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902822075 | Medicine Lodge Memorial Hospital | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-14 |
| 1285669929 | Medicine Lodge Memorial Hospital | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962439943 | Ness County Hospital | Clinic/Center | 316 Custer, Ness City, KS 67560 | 2006-06-27 |
| 1730694282 | Sheridan County Hospital | Clinic/Center | 826 18th St, Hoxie, KS 67740-4372 | 2017-12-06 |
| 1790172377 | Washington County Hospital | Clinic/Center | 302 E 2nd St, Washington, KS 66968-2029 | 2015-04-21 |
| 1215122429 | Edwards County Hospital and Healthcare Center | Clinic/Center | 620 Winchester Ave, Kinsley, KS 67547-2348 | 2007-09-11 |
| 1447392451 | Goodland Regional Medical Center | Clinic/Center | 220 W 2nd St, Goodland, KS 67735 | 2007-02-13 |
| 1275614059 | Trego County Lemke Memorial Hospital | Clinic/Center | 320 N 13th St, Wakeeney, KS 67672-2002 | 2006-10-18 |
| 1225079833 | Hospital District #6 of Harper County | Clinic/Center | 1101 E Spring St, Anthony, KS 67003-2122 | 2006-06-08 |
| City | MEDICINE LODGE |
| Zip Code | 67104 |
Please comment or provide details below to improve the information on MEDICINE LODGE MEMORIAL HOSPITAL PHYSICIANS CLINC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.