Healthcare Provider Details

I. General information

NPI: 1447516190
Provider Name (Legal Business Name): SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 06/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 PATTERSON PKWY
ARKANSAS CITY KS
67005-5701
US

IV. Provider business mailing address

6401 PATTERSON PKWY
ARKANSAS CITY KS
67005-5701
US

V. Phone/Fax

Practice location:
  • Phone: 620-442-2500
  • Fax: 620-441-5953
Mailing address:
  • Phone: 620-442-2500
  • Fax: 620-441-5953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License NumberH018001
License Number StateKS

VIII. Authorized Official

Name: JEFF BOWMAN
Title or Position: CEO
Credential:
Phone: 620-441-5900