| Cherryvale Family Medicine | |
|
203 W Main St Cherryvale KS 67335-1332 | |
| (620) 336-2132 | |
| (620) 336-2237 |
| Full Name | Cherryvale Family Medicine |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 203 W Main St, Cherryvale, Kansas |
| Authorized Official Name and Position | Shelly Hunter (CFO) |
| Authorized Official Contact | 4176252459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherryvale Family Medicine Po Box 414 203 West Main Street Cherryvale KS 67335-0414 Ph: (620) 336-2132 | Cherryvale Family Medicine 203 W Main St Cherryvale KS 67335-1332 Ph: (620) 336-2132 |
| NPI Number | 1467564039 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467564039 | NPI | - | NPPES |
| 100089300I | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 1500335 (Kansas) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1500335 (Kansas) | Secondary |
Cherryvale Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 W Main St, Cherryvale, KS 67335 Phone: 620-336-2131 Fax: 620-336-2237 |