Dodge City Family Care Clinic

LBN: Minneola District Hospital Nbr 2
Dodge City Family Care Clinic is an health care organization with primary practice located at 200 W Ross Blvd , Dodge City KS 67801-7221. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Minneola District Hospital Nbr 2 can be contacted via phone (620) 371-7300, or through Bruner, Deborah via phone (620) 885-4264.

Contact Information

Primary practice address
200 W Ross Blvd Dodge City KS 67801-7221
Fax: (620) 371-7304
Website:
Authorized official contact:
Name: Bruner, Deborah

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X H013002 Kansas

Profile Details

NPI number 1376625749
LBN Legal business name Minneola District Hospital Nbr 2
DBA Doing business as Dodge City Family Care Clinic
Authorized official Bruner, Deborah
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 19th, 2006
Last updated Apr 8th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376625749 NPPES
Kansas Other 000455 BLUE CROSS RHC
Kansas MEDICAID 100010520B BLUE CROSS RHC
Kansas Other 110486 BLUE CROSS RHC
Kansas MEDICAID 100010520F BLUE CROSS RHC

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