Provider Demographics
NPI:1740486182
Name:ROBERT J DOLE MEDICAL CENTER AND REGIONAL OFFICE
Entity type:Organization
Organization Name:ROBERT J DOLE MEDICAL CENTER AND REGIONAL OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MRSA PROJECT COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:316-685-2221
Mailing Address - Street 1:331 QUIVIRA CIR
Mailing Address - Street 2:
Mailing Address - City:KECHI
Mailing Address - State:KS
Mailing Address - Zip Code:67067-8806
Mailing Address - Country:US
Mailing Address - Phone:316-744-2069
Mailing Address - Fax:
Practice Address - Street 1:5500 E KELLOGG DR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1607
Practice Address - Country:US
Practice Address - Phone:316-685-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1330735052282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital