| Wyandotte Community Health Center - Cckc | |
|
444 Minnesota Ave Ste 100 Kansas City KS 66101-2939 | |
| (913) 342-2552 | |
| (913) 342-8999 |
| Full Name | Wyandotte Community Health Center - Cckc |
|---|---|
| Speciality | Clinic/Center |
| Location | 444 Minnesota Ave Ste 100, Kansas City, Kansas |
| Authorized Official Name and Position | Charles Smith (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9133422552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyandotte Community Health Center - Cckc 21 N 12th St Ste 300 Kansas City KS 66102-5105 Ph: (913) 342-2552 | Wyandotte Community Health Center - Cckc 444 Minnesota Ave Ste 100 Kansas City KS 66101-2939 Ph: (913) 342-2552 |
| NPI Number | 1386158335 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 02/01/2023 |
| Certification Date | 02/01/2023 |
| Medicare PECOS PAC ID | 9739447921 |
|---|---|
| Medicare Enrollment ID | O20171218001561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386158335 | NPI | - | NPPES |
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