Satanta District Hospital and Long-Term Care
Organization Active NPI Adult Care Home Facility · Satanta, KS
NPI 1750334512 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1750334512
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 1040568501 (KS)
- Legal business name
- SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
- Practice address
- 401 Cheyenne Street
Satanta, KS 67870-0159 - Phone
- (620) 649-2761
- Fax
- (620) 649-2776
- NPI assigned
- May 19, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Authorized official
- Name
- Tina Pendergraft
- Title
- Administrator
- Phone
- (620) 649-2761
Corporate family (same tax ID) 5
Practitioners 2
National Provider Directory
- Tax ID family
- Satanta District Hospital
- Part of
- Satanta District Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 1040568501 | KS | Yes |
| Skilled Nursing Facility | 314000000X | 1040568501 | KS |
Addresses
Primary practice location
401 Cheyenne Street
Satanta, KS 67870-0159
Mailing address
PO Box 159
Satanta, KS 67870-0159
Phone (620) 649-2761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100107120A | Medicaid | KS | |
| 1040568501 | Other | KS | STATE PROVIDER # |
| 17E356 | Other | KS | FEDERAL PROVIDER # |
| H041001 | Other | KS | STATE LICENSE FOR HOSPITA |
Other names
- Satanta Long Term Care
Other providers in Satanta, KS
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Kimberly R. Skinner
- Virgilio M. Taduran
- Unified School District No. 507
- Robin R Unruh
All providers in Satanta, KS · Adult Care Home Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.