| Four County Mental Health Center, Inc. | |
|
3354 Highway 160 Independence KS 67301-7841 | |
| (620) 331-1748 | |
| (620) 332-1940 |
| Full Name | Four County Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3354 Highway 160, Independence, Kansas |
| Authorized Official Name and Position | Greg Hennen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6203311748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four County Mental Health Center, Inc. Po Box 688 Independence KS 67301-0688 Ph: (620) 331-1748 | Four County Mental Health Center, Inc. 3354 Highway 160 Independence KS 67301-7841 Ph: (620) 331-1748 |
| NPI Number | 1598845984 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598845984 | NPI | - | NPPES |
| 100097980B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Kansas) | Primary |
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