SUSAN B. ALLEN MEMORIAL HOSPITAL (NPI# 1588156574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588156574 |
Entity Type | Organization |
Organization Name | SUSAN B. ALLEN MEMORIAL HOSPITAL |
Other Organization Name | SBA URGENT CARE CLINIC |
Practice Address |
2710 W Central Ave El Dorado KS 67042-3285 |
Mailing Address |
720 W Central Ave El Dorado KS 67042-2112 |
Practice Telephone | 3164525860 |
Practice Fax Number | 3164525844 |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-06-05 |
Authorized Official Name | MR. MARK ROOKER (CIO/COO) |
Authorized Official Telephone | 3163224544 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SBA Urgent Care Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124594957 | Susan B. Allen Memorial Hospital | Emergency Medicine | 700 W Central Ave Ste 103, El Dorado, KS 67042-2187 | 2018-10-19 |
1003338914 | Susan B. Allen Memorial Hospital | Preventive Medicine | 720 W Central Ave Ste 111, El Dorado, KS 67042-2112 | 2017-07-12 |
1457766800 | Susan B. Allen Memorial Hospital | Family Medicine | 401 W 7th Ave, Augusta, KS 67010-1309 | 2014-06-24 |
1922431329 | Susan B. Allen Memorial Hospital | Orthopaedic Surgery | 700 W Central Ave Ste 108, El Dorado, KS 67042-2187 | 2013-08-21 |
1356783286 | Susan B. Allen Memorial Hospital | Otolaryngology | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2013-07-19 |
1285870618 | Susan B. Allen Memorial Hospital | Family Medicine | 700 W Central Ave Ste 204, El Dorado, KS 67042-2186 | 2009-01-07 |
1700994977 | Susan B. Allen Memorial Hospital | Pharmacy | 720 W. Central Ave, El Dorado, KS 67042-2144 | 2006-08-28 |
1144724667 | Susan B. Allen Memorial Hospital | Audiologist | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2018-03-20 |
1104349067 | Susan B. Allen Memorial Hospital | Hospitalist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-07-24 |
1922520832 | Susan B. Allen Memorial Hospital | Family Medicine | 401 W 7th Ave, Augusta, KS 67010-1309 | 2017-07-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SUSAN B. ALLEN MEMORIAL HOSPITAL, THE | 720 W Central Ave, El Dorado, KS 67042-2112 |
Street Address |
2710 W CENTRAL AVE |
City | EL DORADO |
State | KS |
Zip Code | 67042-3285 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
Find all providers in zip 67042 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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1255727897 | Gold Cross Urgent Care, LLC | Clinic/Center | 701 N West Ave, El Dorado, AR 71730-4654 | 2015-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
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1124632997 | Pratt Regional Medical Center Corporation | Clinic/Center | 1600 E 1st St, Pratt, KS 67124-2070 | 2020-08-31 |
1245876184 | Immediate Medical Care, P.a. | Clinic/Center | 3560 N Maize Rd Ste 106, Wichita, KS 67205-7393 | 2019-11-26 |
1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
1255883682 | Kansas Carenow Urgent Care LLC | Clinic/Center | 3500 W 95th St, Leawood, KS 66206-2031 | 2016-11-02 |
1306259387 | Lansing Urgent Care and Occupational Health | Clinic/Center | 844 N Main St, Lansing, KS 66043-1305 | 2014-06-06 |
1619395845 | Immediate Medical Care, P.a. | Clinic/Center | 5838 E Central Ave, Wichita, KS 67208-4203 | 2014-04-04 |
1265863823 | The Urgency Room LLC | Clinic/Center | 7450 Frontage Rd, Merriam, KS 66203-4670 | 2013-12-09 |
1922306729 | Newman Memorial County Hospital | Clinic/Center | 1301 W 12th Ave Ste 110, Emporia, KS 66801-2587 | 2011-03-03 |
1699921205 | Palmeri Urgent Care LLC | Clinic/Center | 11338 W 63rd St, Upper Northern Suite, Shawnee, KS 66203-3336 | 2008-08-14 |
1639351513 | American Current Care Pa | Clinic/Center | 4214 Kansas Avenue, Kansas City, KS 66106-1119 | 2007-12-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.