Medicine Lodge Community Health Foundation

Organization Active NPI Respite Care · Medicine Lodge, KS

NPI 1750437463 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1750437463
Entity type
Organization (NPI type 2)
Primary specialty
Respite Care 385H00000X
License
HS004002 (KS)
Legal business name
MEDICINE LODGE COMMUNITY HEALTH FOUNDATION
Practice address
701 N Walnut St
Drawer 'C'
Medicine Lodge, KS 67104-1018
Phone
(620) 886-3771
Fax
(620) 886-5012
NPI assigned
Jan 26, 2007
Organization subpart
No

Authorized official

Name
Mrs. V. Suzanne Lee
Title
Executive Director
Phone
(620) 930-2072

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X HS004002 KS Yes

Addresses

Primary practice location

701 N Walnut St
Drawer 'C'
Medicine Lodge, KS 67104-1018

Mailing address

701 N Walnut St
Drawer 'C'
Medicine Lodge, KS 67104-1018
Phone (620) 886-3771

Other providers in Medicine Lodge, KS

All providers in Medicine Lodge, KS · Respite Care in Kansas

Sources for this page

Verify at the official NPI Registry.