MINNEOLA DISTRICT HOSPITAL NBR 2 NPI 1376625749

NPI Information

  • NPI: 1376625749
  • Provider Name: MINNEOLA DISTRICT HOSPITAL NBR 2
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: DODGE CITY FAMILY CARE CLINIC
  • Address: 200 W ROSS BLVD
    DODGE CITY, KS
    ZIP 67801
  • Phone: (620) 371-7300

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NPI Details

MINNEOLA DISTRICT HOSPITAL NBR 2 is a rural health clinic center in Dodge City, KS. MINNEOLA DISTRICT HOSPITAL NBR 2 NPI is 1376625749. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dodge City Family Care Clinic.

The provider's business location address is:

200 W ROSS BLVD
DODGE CITY, KS
ZIP 67801-221
Phone: (620) 371-7300
Fax: (620) 371-7304

The provider's authorized official is Deborah Bruner .
The authorized official title is Ceo and has the following contact phone number (620) 885-4264.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 4/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthH013002KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000455OTHERKANSASBLUE CROSS RHC
2100010520BMEDICAIDKANSAS
3110486OTHERKANSASBLUE SHIELD
4100010520FMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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