| Organization Name: | HODGEMAN COUNTY MEDICAL SERVICES, INC |
| NPI Number: | 1285019141 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARCIA M SNODGRASS (OWNER) |
| Mailing Address: | 2200 Summerlon Cir Ste A Dodge City |
| State: | KS US |
| Postal Code: | 678012900 |
| Phone Number: | 6204089700 |
| Fax Number: | 6204089701 |
| NPI Enumeration Date: | 07/21/2015 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 422287 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |