| Satanta District Hospital Clinic-satanta | |
|
410 Cheyenne Satanta KS 67870-8748 | |
| (620) 649-2771 | |
| (620) 649-2538 |
| Full Name | Satanta District Hospital Clinic-satanta |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 Cheyenne, Satanta, Kansas |
| Authorized Official Name and Position | Jeremy Clingenpeel (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 Clinic-satanta 401 Cheyenne Satanta KS 67870-0159 Ph: (620) 649-2771 | Satanta District Hospital Clinic-satanta 410 Cheyenne Satanta KS 67870-8748 Ph: (620) 649-2771 |
| NPI Number | 1316999246 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 05/09/2014 |
| Medicare PECOS PAC ID | 5991616054 |
|---|---|
| Medicare Enrollment ID | O20030919000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316999246 | NPI | - | NPPES |
| OO1326 | Other | KS | BLUE CROSS # |
| 100080490B | Medicaid | KS | |
| 100262240A | Medicaid | KS |
Satanta District Hospital Clinic - Non Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Cheyenne Street, Satanta, KS 67870 Phone: 620-649-2771 Fax: 620-649-2538 |