Healthcare Provider Details

I. General information

NPI: 1548363013
Provider Name (Legal Business Name): TREGO COUNTY LEMKE MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 N 13TH ST
WAKEENEY KS
67672-2002
US

IV. Provider business mailing address

320 N 13TH ST
WAKEENEY KS
67672-2002
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberH-098-001
License Number StateKS

VIII. Authorized Official

Name: CHRISTINE ADAMS-CLELAND
Title or Position: CFO
Credential:
Phone: 785-743-2182