| Centro Hispano Rsource Center | |
|
204 W 13th St Lawrence KS 66044-3404 | |
| (785) 843-2039 | |
| (795) 749-5064 |
| Full Name | Centro Hispano Rsource Center |
|---|---|
| Speciality | Social Worker |
| Location | 204 W 13th St, Lawrence, Kansas |
| Authorized Official Name and Position | Cris Denning (BUSINESS MANAGER) |
| Authorized Official Contact | 7858430109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Hispano Rsource Center 1229 Vermont St Lawrence KS 66044-3233 Ph: (785) 843-0109 | Centro Hispano Rsource Center 204 W 13th St Lawrence KS 66044-3404 Ph: (785) 843-2039 |
| NPI Number | 1790057388 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790057388 | NPI | - | NPPES |
| 1164703055 | Medicaid | KS | |
| 200626190A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 7640 (Kansas) | Secondary |
| 104100000X | Social Worker | 7643 (Kansas) | Primary |
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