| |
1004 Progress Dr Ste 180 Lansing KS 66043-6323 | |
(913) 297-3215 | |
(913) 297-2732 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1004 Progress Dr Ste 180, Lansing, Kansas |
Authorized Official Name and Position | Jared Abel (CEO) |
Authorized Official Contact | 9133672131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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800 Ravenhill Dr Atchison KS 66002-9204 Ph: (913) 367-2131 | 1004 Progress Dr Ste 180 Lansing KS 66043-6323 Ph: (913) 297-3215 |
NPI Number | 1780391409 |
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Provider Enumeration Date | 11/02/2022 |
Last Update Date | 11/15/2024 |
Medicare PECOS PAC ID | 2466363858 |
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Medicare Enrollment ID | O20221112000113 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780391409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Stephanie Suber Do An Operating Division Of Saint John Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 Progress Drive, Suite 220, Lansing, KS 66043 Phone: 913-772-8200 Fax: 913-722-0372 | |
Vivek Sahgal, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 Progress Dr, Ste 130, Lansing, KS 66043 Phone: 913-772-8630 Fax: 913-825-1904 | |
Amber Botros Do An Operating Division Of Saint John Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 Progress Dr, Suite 200, Lansing, KS 66043 Phone: 913-651-3111 Fax: 913-651-3103 |