| NPI | 1437273893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DEAN STOCKMAN Physical Therapist Assistant 620-257-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: KS 14-01142) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |