Crawford County Mental Health Center | |
911 E Centennial Dr Pittsburg KS 66762-6601 | |
(620) 231-5130 | |
Not Available |
Full Name | Crawford County Mental Health Center |
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Speciality | Clinic/Center |
Location | 911 E Centennial Dr, Pittsburg, Kansas |
Authorized Official Name and Position | Stacy Kratz (CHIEF OPERATIONS OFFIER) |
Authorized Official Contact | 6202315130 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crawford County Mental Health Center 3113 N Michigan St Ste B Pittsburg KS 66762-2564 Ph: () - | Crawford County Mental Health Center 911 E Centennial Dr Pittsburg KS 66762-6601 Ph: (620) 231-5130 |
NPI Number | 1942064423 |
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Provider Enumeration Date | 02/06/2024 |
Last Update Date | 09/23/2024 |
Certification Date | 09/17/2024 |
Medicare PECOS PAC ID | 3072955616 |
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Medicare Enrollment ID | O20240528001918 |
Identifier | Type | State | Issuer |
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1942064423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Michelle L Coulter Morrell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447684931 PECOS PAC ID: 6002151248 Enrollment ID: I20181217002551 |
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