| |
380 Limit St Leavenworth KS 66048-4525 | |
(913) 637-7300 | |
(913) 674-2030 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 380 Limit St, Leavenworth, Kansas |
Authorized Official Name and Position | Jeffery R Perry (CEO) |
Authorized Official Contact | 9133672131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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800 Ravenhill Dr Atchison KS 66002-9204 Ph: (913) 367-7300 | 380 Limit St Leavenworth KS 66048-4525 Ph: (913) 637-7300 |
NPI Number | 1992420111 |
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Provider Enumeration Date | 10/10/2022 |
Last Update Date | 10/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992420111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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