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1903 Euclid Ave Horton KS 66439-1238 | |
(785) 486-2468 | |
(785) 486-2371 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1903 Euclid Ave, Horton, 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 | 1903 Euclid Ave Horton KS 66439-1238 Ph: (785) 486-2468 |
NPI Number | 1346873502 |
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Provider Enumeration Date | 02/17/2020 |
Last Update Date | 11/15/2024 |
Medicare PECOS PAC ID | 2466363858 |
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Medicare Enrollment ID | O20200505002503 |
Identifier | Type | State | Issuer |
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1346873502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |