Organization Name: | SOUTHWEST MEDICAL CENTER |
NPI Number: | 1477780955 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NORMAN T LAMBERT (CEO/PRESIDENT) |
Mailing Address: | 1411 W. 15th Street Ste. 102 Liberal |
State: | KS US |
Postal Code: | 67901 |
Phone Number: | 6206240142 |
Fax Number: | 6206240142 |
NPI Enumeration Date: | 06/11/2009 |
NPI Last Update Date: | 03/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |