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818 N 7th St Leavenworth KS 66048-1422 | |
| (913) 651-8860 | |
| (913) 682-4409 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 818 N 7th St, Leavenworth, Kansas |
| Authorized Official Name and Position | Brandi Oom (CEO) |
| Authorized Official Contact | 9133674879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
818 N 7th St Leavenworth KS 66048-1422 Ph: (913) 651-8860 | 818 N 7th St Leavenworth KS 66048-1422 Ph: (913) 651-8860 |
| NPI Number | 1710725288 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 11/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710725288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Occupational & Preventive Medicine Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 6th Ave, Medical Arts Building, Leavenworth, KS 66048 Phone: 913-682-7225 Fax: 913-651-2007 | |
Northeast Kansas Gi Consultants Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3601 S 4th St, Suite 5, Leavenworth, KS 66048 Phone: 913-220-5193 Fax: 913-814-9989 | |
Medical Arts Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2600 |