Full Name | |
---|---|
Speciality | Family Medicine |
Location | 175 South Range, Colby, Kansas |
Authorized Official Name and Position | Brenda Hildyard (ADMINISTRATOR) |
Authorized Official Contact | 7854623332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
175 South Range Colby KS 67701 Ph: (785) 462-3332 | 175 South Range Colby KS 67701 Ph: (785) 462-3332 |
NPI Number | 1689730293 |
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Provider Enumeration Date | 12/28/2006 |
Last Update Date | 01/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689730293 | NPI | - | NPPES |
100087830A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Kansas) | Primary |
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
County Of Thomas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 S Range Ave Ste 2, Colby, KS 67701 Phone: 785-460-4596 Fax: 785-460-4595 | |