| Organization Name: | SURGERY CENTER OF DODGE CITY, LLC |
| NPI Number: | 1013915685 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DINA LANE (ADMINISTRATOR) |
| Mailing Address: | 2203 Summerlon Cir Dodge City |
| State: | KS US |
| Postal Code: | 678012985 |
| Phone Number: | 6204089454 |
| Fax Number: | 6204089552 |
| NPI Enumeration Date: | 07/08/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | S029001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |