Healthcare Provider Details

I. General information

NPI: 1790790566
Provider Name (Legal Business Name): SEDGWICK COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W 3RD ST
BIG SPRINGS NE
69122-5048
US

IV. Provider business mailing address

900 CEDAR ST
JULESBURG CO
80737-1121
US

V. Phone/Fax

Practice location:
  • Phone: 308-889-3376
  • Fax: 308-889-3378
Mailing address:
  • Phone: 970-474-3323
  • Fax: 970-474-2758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID GARNAS
Title or Position: CEO
Credential:
Phone: 970-474-3323