Advanced Primary Care Clinic | |
120 W Pine St Columbus KS 66725-1705 | |
(620) 429-1008 | |
(620) 429-3780 |
Full Name | Advanced Primary Care Clinic |
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Speciality | Clinic/Center |
Location | 120 W Pine St, Columbus, Kansas |
Authorized Official Name and Position | Michael Echard (ARNP) |
Authorized Official Contact | 6206741029 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Primary Care Clinic 120 W Pine St Columbus KS 66725-1705 Ph: (620) 429-1008 | Advanced Primary Care Clinic 120 W Pine St Columbus KS 66725-1705 Ph: (620) 429-1008 |
NPI Number | 1376314435 |
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Provider Enumeration Date | 01/09/2024 |
Last Update Date | 04/18/2024 |
Medicare PECOS PAC ID | 2961840418 |
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Medicare Enrollment ID | O20240403003082 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376314435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Michael Richard Echard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104496983 PECOS PAC ID: 2163810318 Enrollment ID: I20240403003204 |
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