Organization Name: | SUSAN B. ALLEN MEMORIAL HOSPITAL |
NPI Number: | 1164554820 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEILA G ARNETT (PRESIDENT &CEO) |
Mailing Address: | 720 W Central Ave El Dorado |
State: | KS US |
Postal Code: | 670422112 |
Phone Number: | 3163213300 |
Fax Number: | 3163212916 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 06/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |