Satanta District Hospital And Long-Term Care
Family Medicine in Sublette, KS. Organization (NPI-2).
NPI number1073706255
StatusActive
Last updated in NPPESAug 29, 2025
Details
- NPI
- 1073706255
- Entity type
- Organization (NPI-2)
- Legal business name
- Satanta District Hospital And Long-Term Care
- Organization subpart
- No
- Enumeration date
- Aug 22, 2007
- Certification date
- Aug 29, 2025
- Last updated
- Aug 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | HO41001 | KS | Yes |
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – |
Other names
- Satanta District Hospital Clinic-Non Rural Health (Doing Business As)
Practice location
301 S DerbySublette, KS 67877-0398
Phone 620-675-2686 · Fax 620-675-2236
Mailing address
Po Box 159Satanta, KS 67870-0159
Phone 620-675-2686 · Fax 620-675-2236
Authorized official
Tina Pendergraft
Administrator
6206492761
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