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205 E 7th St Ste 215 Hays KS 67601-4161 | |
| (785) 670-5017 | |
| (785) 533-9771 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 205 E 7th St Ste 215, Hays, Kansas |
| Authorized Official Name and Position | Kelli Herbers (OWNER) |
| Authorized Official Contact | 7856705017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
205 E 7th St Ste 215 Hays KS 67601-4161 Ph: (785) 670-5017 | 205 E 7th St Ste 215 Hays KS 67601-4161 Ph: (785) 670-5017 |
| NPI Number | 1255012050 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/22/2024 |
| Medicare PECOS PAC ID | 1759735210 |
|---|---|
| Medicare Enrollment ID | O20231002003385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255012050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kelli Herbers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477102721 PECOS PAC ID: 4486048741 Enrollment ID: I20220302001696 |
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