| |
401 S Washington Ave Iola KS 66749-3256 | |
(620) 365-6933 | |
(620) 365-8126 |
Full Name | |
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Speciality | Clinic/Center |
Location | 401 S Washington Ave, Iola, Kansas |
Authorized Official Name and Position | Erin Parde (CFO) |
Authorized Official Contact | 8168805277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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401 S Washington Ave Iola KS 66749-3256 Ph: (620) 365-6933 | 401 S Washington Ave Iola KS 66749-3256 Ph: (620) 365-6933 |
NPI Number | 1194732438 |
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Provider Enumeration Date | 08/01/2006 |
Last Update Date | 11/25/2024 |
Medicare PECOS PAC ID | 5496178691 |
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Medicare Enrollment ID | O20200805000448 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194732438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Health Center Of Southeast Kansas, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 N Kentucky St, Iola, KS 66749 Phone: 888-777-9170 Fax: 620-231-5062 | |
Community Health Center Of Southeast Kansas, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2051 N State St, Iola, KS 66749 Phone: 620-380-6600 Fax: 620-380-6215 |