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106 W Frontview St Ste 6 Dodge City KS 67801-2200 | |
| (620) 225-4600 | |
| (620) 225-4646 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106 W Frontview St, Dodge City, Kansas |
| Authorized Official Name and Position | Barbara J Scott (DIRECTOR) |
| Authorized Official Contact | 6202254600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
106 W Frontview St Ste 6 Dodge City KS 67801-2200 Ph: (620) 225-4600 | 106 W Frontview St Ste 6 Dodge City KS 67801-2200 Ph: (620) 225-4600 |
| NPI Number | 1952469637 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952469637 | NPI | - | NPPES |
| 100397550-A | Medicaid | KS | |
| 116039 | Other | KS | 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 513 (Kansas) | Primary |
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