| Cherryvale Family Medicine | |
|
203 W Main St Cherryvale KS 67335-1332 | |
| (620) 336-2131 | |
| (620) 336-2237 |
| Full Name | Cherryvale Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 W Main St, Cherryvale, Kansas |
| Authorized Official Name and Position | Lori C Smith (CFO) |
| Authorized Official Contact | 6203258388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherryvale Family Medicine Po Box 360 Neodesha KS 66757-0360 Ph: (620) 325-2611 | Cherryvale Family Medicine 203 W Main St Cherryvale KS 67335-1332 Ph: (620) 336-2131 |
| NPI Number | 1598121790 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 2163656208 |
|---|---|
| Medicare Enrollment ID | O20160215000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598121790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cherryvale Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Main St, Cherryvale, KS 67335 Phone: 620-336-2132 Fax: 620-336-2237 |