| Satanta District Hospital And Long-term Care | |
|
410 Cheyenne Street Satanta KS 67870-0009 | |
| (620) 649-2771 | |
| (620) 649-2538 |
| Full Name | Satanta District Hospital And Long-term Care |
|---|---|
| Speciality | Family Medicine |
| Location | 410 Cheyenne Street, Satanta, Kansas |
| Authorized Official Name and Position | Tina Pendergraft (ADMINISTRATOR) |
| Authorized Official Contact | 6206492761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Satanta District Hospital And Long-term Care Po Box 9 Satanta KS 67870-0009 Ph: (620) 649-2771 | Satanta District Hospital And Long-term Care 410 Cheyenne Street Satanta KS 67870-0009 Ph: (620) 649-2771 |
| NPI Number | 1144312844 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/29/2025 |
| Medicare PECOS PAC ID | 5991616054 |
|---|---|
| Medicare Enrollment ID | O20040311001369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144312844 | NPI | - | NPPES |
| 110220 | Other | KS | NON RURAL HEALTH NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H041001 (Kansas) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Amy R Nightengale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306876933 PECOS PAC ID: 8325072663 Enrollment ID: I20050926000506 |
| Provider Name | Peggy A Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497192439 PECOS PAC ID: 1850535329 Enrollment ID: I20130924000116 |
| Provider Name | Brian Joseph Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386024800 PECOS PAC ID: 8921316456 Enrollment ID: I20190225000966 |
| Provider Name | Robyn Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558741975 PECOS PAC ID: 3971817198 Enrollment ID: I20190311001333 |
| Provider Name | Jason L Hoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992969661 PECOS PAC ID: 6507196300 Enrollment ID: I20190920001972 |
| Provider Name | Anjali Giri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437765013 PECOS PAC ID: 8921404807 Enrollment ID: I20210831003366 |
| Provider Name | Timothy Daniel Barron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447317813 PECOS PAC ID: 3476538356 Enrollment ID: I20220215001247 |
| Provider Name | Peter Phan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851564462 PECOS PAC ID: 3971795261 Enrollment ID: I20240603000635 |
| Provider Name | Henry Derbes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912434978 PECOS PAC ID: 7911389622 Enrollment ID: I20240610001907 |
Satanta District Hospital And Long-term Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Cheyenne, Satanta, KS 67870 Phone: 620-649-2771 Fax: 620-649-2538 |