| Clearwater Family Practice Pa | |
|
101 E Ross St Clearwater KS 67026-7824 | |
| (620) 584-2055 | |
| (620) 584-2032 |
| Full Name | Clearwater Family Practice Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 101 E Ross St, Clearwater, Kansas |
| Authorized Official Name and Position | David Ira Papish (OWNER) |
| Authorized Official Contact | 6205842055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Family Practice Pa 101 E Ross St Clearwater KS 67026-7824 Ph: (620) 584-2055 | Clearwater Family Practice Pa 101 E Ross St Clearwater KS 67026-7824 Ph: (620) 584-2055 |
| NPI Number | 1548361538 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548361538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0518527 (Kansas) | Primary |
Gracemed Clearwater Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Ross St, Clearwater, KS 67026 Phone: 316-866-2000 |