Healthcare Provider Details

I. General information

NPI: 1366130585
Provider Name (Legal Business Name): SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6403 PATTERSON PKWY
ARKANSAS CITY KS
67005-5701
US

IV. Provider business mailing address

6403 PATTERSON PKWY
ARKANSAS CITY KS
67005-5701
US

V. Phone/Fax

Practice location:
  • Phone: 620-447-5711
  • Fax: 620-441-5891
Mailing address:
  • Phone: 620-447-5711
  • Fax: 620-441-5891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE HOCKENBURY
Title or Position: CFO
Credential:
Phone: 620-442-2500