Snodgrass Memorial Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SNODGRASS MEMORIAL CLINIC, LLC

Practice address

2200 Summerlon Cir Ste a
Dodge City, KS 67801-2905

Phone

(620) 408-9700

Fax

(620) 408-9701

NPI assigned

Jun 13, 2022

Last updated

Mar 10, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Marcia M Snodgrass, APRNNPI 1184617011

Title

Owner

Phone

(620) 408-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcia Marie Snodgrass, ARNP

  • Women's Health Nurse Practitioner
  • Dodge City, KS
  • NPI 1184617011
  Medicare reassignment Care Compare group NPD Authorized official
• Danielle Lynn Mondragon, APRN

  • Primary Care Nurse Practitioner
  • Dodge City, KS
  • NPI 1871410043
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1942930094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 SUMMERLON CIR",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012985",
            "telephone_number": "620-408-9700",
            "fax_number": "620-408-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SUMMERLON CIR STE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012905",
            "telephone_number": "620-408-9700",
            "fax_number": "620-408-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNODGRASS MEMORIAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-408-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna L. Harris D.D.S.,P.a
• Benny Lee Short, M.D.
• Allison Meredith Simpson, APRN
• Katie Smith, PT
• Lyle D Smith, MD
• Marcia Marie Snodgrass, ARNP
• Cheri Sonday, LPN
• Cristel Nataly Soto Marquez
• Southwest Kansas Area Agency on Aging
• Southwest Kansas Behavioral Health Services

• Family Medicine Physician in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.