SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
NPI 1073706255
Family Medicine in Sublette, KS
About Satanta District Hospital And Long-term Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE (NPI 1073706255), doing business as Satanta District Hospital Clinic-non Rural Health, is a healthcare organization registered as a family medicine in Sublette, Kansas and active in the NPI registry since August 2007. The organization holds 2 active CLIA laboratory certificates and lists Tina Pendergraft, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Satanta District Hospital And Long-term Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Satanta District Hospital And Long-Term Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 17D0453249
Satanta District Hospital · Satanta, KSCertificate of Waiver 17D0895172
Satanta District Hospital And Ltcu Nursing Svc · Satanta, KSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Satanta District Hospital And Long-Term Care's NPI number?
The NPI number for Satanta District Hospital And Long-Term Care is 1073706255. It was assigned to this organization in the NPPES registry on August 22, 2007. The provider is doing business as Satanta District Hospital Clinic-Non Rural Health.
Where is Satanta District Hospital And Long-Term Care located?
Satanta District Hospital And Long-Term Care is located at 301 S Derby, Sublette, KS 67877. The listed phone number is (620) 675-2686.
What is Satanta District Hospital And Long-Term Care's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Satanta District Hospital And Long-Term Care enrolled in Medicare?
Yes. Satanta District Hospital And Long-Term Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Satanta District Hospital And Long-Term Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Satanta District Hospital And Long-Term Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (4) and General Surgery (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Satanta District Hospital And Long-Term Care hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Satanta District Hospital And Long-Term Care accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Satanta District Hospital And Long-Term Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Satanta District Hospital And Long-Term Care was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Satanta District Hospital And Long-Term Care · NPI 1073706255
Family Medicine organization in Sublette, Kansas. Organization record, active in the CMS NPPES registry since August 22, 2007.
## Identity
- **NPI:** 1073706255 (Entity type: Organization)
- **Enumerated:** August 22, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Satanta District Hospital Clinic-Non Rural Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tina Pendergraft, ADMINISTRATOR
## Practice location
- **Address:** 301 S DERBY, Sublette, KS 67877-0398
- **Phone:** (620) 675-2686 · **Fax:** (620) 675-2236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (4), General Surgery (2); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2025
- **Other identifiers:** Other 110229 (KS); Other 110229 (KS)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073706255) · Data from the CMS NPPES public registry.