Provider Demographics
NPI:1922001015
Name:TREGO COUNTY LEMKE MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:TREGO COUNTY LEMKE MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS-CLELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-743-2182
Mailing Address - Street 1:320 N 13TH ST
Mailing Address - Street 2:
Mailing Address - City:WAKEENEY
Mailing Address - State:KS
Mailing Address - Zip Code:67672-2002
Mailing Address - Country:US
Mailing Address - Phone:785-743-2182
Mailing Address - Fax:785-743-6317
Practice Address - Street 1:320 N 13TH ST
Practice Address - Street 2:
Practice Address - City:WAKEENEY
Practice Address - State:KS
Practice Address - Zip Code:67672-2002
Practice Address - Country:US
Practice Address - Phone:785-743-2182
Practice Address - Fax:785-743-6317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH098001282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS000230OtherBCBS
KS100099540AMedicaid
KS110243846Medicare ID - Type UnspecifiedRAILROAD MEDICARE #
KS000230OtherBCBS