| Medicine Lodge Memorial Hospital | |
|
710 N. Walnut St. Drawer 'c' Medicine Lodge KS 67104-1019 | |
| (620) 930-3744 | |
| (620) 930-3784 |
| Full Name | Medicine Lodge Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 710 N. Walnut St., Medicine Lodge, Kansas |
| Authorized Official Name and Position | Ashley Taylor (ADMINISTRATOR) |
| Authorized Official Contact | 6208863771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicine Lodge Memorial Hospital 710 N. Walnut St. Drawere 'c' Medicine Lodge KS 67104-1019 Ph: (620) 930-3744 | Medicine Lodge Memorial Hospital 710 N. Walnut St. Drawer 'c' Medicine Lodge KS 67104-1019 Ph: (620) 930-3744 |
| NPI Number | 1083702369 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 07/02/2024 |
| Medicare PECOS PAC ID | 6901879410 |
|---|---|
| Medicare Enrollment ID | O20061208000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083702369 | NPI | - | NPPES |
| 100092110B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H004002 (Kansas) | Secondary |
| 261QC0050X | Clinic/center - Critical Access Hospital | HS004002 (Kansas) | Primary |