Organization Name: | TREGO COUNTY LEMKE MEMORIAL HOSPITAL |
NPI Number: | 1194830679 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAIL A JENSEN (CFO) |
Mailing Address: | 1000 Washington St Ellis |
State: | KS US |
Postal Code: | 676371615 |
Phone Number: | 7857264956 |
Fax Number: | 7857264479 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | H-098-001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |