Basic Information
| Provider Information | |||||||||
| NPI: | 1740486182 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROBERT J DOLE MEDICAL CENTER AND REGIONAL OFFICE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 331 QUIVIRA CIR | ||||||||
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| City: | KECHI | ||||||||
| State: | KS | ||||||||
| PostalCode: | 670678806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3167442069 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5500 E KELLOGG DR | ||||||||
| Address2: | |||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672181607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3166852221 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HOPKINS | ||||||||
| AuthorizedOfficialFirstName: | PEGGY | ||||||||
| AuthorizedOfficialMiddleName: | ANN | ||||||||
| AuthorizedOfficialTitleorPosition: | MRSA PROJECT COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 3166852221 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 1330735052 | KS | Y | Hospitals | General Acute Care Hospital |
No ID Information.