Healthcare Provider Details

I. General information

NPI: 1194830679
Provider Name (Legal Business Name): TREGO COUNTY LEMKE MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WASHINGTON ST
ELLIS KS
67637-1615
US

IV. Provider business mailing address

320 N 13TH ST
WAKEENEY KS
67672-2002
US

V. Phone/Fax

Practice location:
  • Phone: 785-726-4956
  • Fax: 785-726-4479
Mailing address:
  • Phone: 785-743-2182
  • Fax: 785-743-6317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License NumberH-098-001
License Number StateKS

VIII. Authorized Official

Name: CHRISTINE ADAMS-CLELAND
Title or Position: CFO
Credential:
Phone: 785-743-2124