Hodgeman County Medical Services
Organization Active NPI Physician Assistant · Jetmore, KS
NPI 1831471473 · NPPES record last updated Sep 9, 2011
Key facts
- NPI
- 1831471473
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 05-18985 (KS)
- Legal business name
- HODGEMAN COUNTY MEDICAL SERVICES
- Practice address
- 810 W Bramley St
Jetmore, KS 67854-9320 - Phone
- (620) 357-8354
- NPI assigned
- Sep 9, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Chris A Sandoval
- Title
- Practice Manager
- Phone
- (620) 408-9700
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | 05-18985 | KS | Yes |
Addresses
Primary practice location
810 W Bramley St
Jetmore, KS 67854-9320
Mailing address
2200 Summerlon Cir
Suite a
Dodge City, KS 67801-2900
Phone (620) 408-9700
Other providers in Jetmore, KS
- Nicole Hergert
- Hodgeman County Health Center
- Hodgeman County Health Center
- Hodgeman County Health Center
- Hodgeman County Health Center
- Hodgeman County Pharmacy LLC
- Hodgeman County Pharmacy LLC
- John Reno
- Rachel Moore
- Occupational Health Clinic LLC
All providers in Jetmore, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2011. 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.