| Hodgeman County Medical Services, Inc | |
|
2200 Summerlon Cir Ste A Dodge City KS 67801-2900 | |
| (620) 408-9700 | |
| (620) 408-9701 |
| Full Name | Hodgeman County Medical Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 Summerlon Cir, Dodge City, Kansas |
| Authorized Official Name and Position | Marcia M Snodgrass (OWNER) |
| Authorized Official Contact | 6203576428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hodgeman County Medical Services, Inc 2200 Summerlon Cir Ste A Dodge City KS 67801-2900 Ph: (620) 408-9700 | Hodgeman County Medical Services, Inc 2200 Summerlon Cir Ste A Dodge City KS 67801-2900 Ph: (620) 408-9700 |
| NPI Number | 1285019141 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 07/21/2015 |
| Medicare PECOS PAC ID | 4981910155 |
|---|---|
| Medicare Enrollment ID | O20150902001874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285019141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 422287 (Kansas) | Primary |
| Provider Name | Samir K Shaath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023099686 PECOS PAC ID: 1850331265 Enrollment ID: I20050505000197 |
| Provider Name | Marcia Marie Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184617011 PECOS PAC ID: 9830092535 Enrollment ID: I20210729001216 |
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C&s Medical Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Summerlon Circle, Suite A, Dodge City, KS 67801 Phone: 620-408-9700 Fax: 620-408-9701 | |
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