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3354 Highway 160 Independence KS 67301-7841 | |
(620) 231-1748 | |
(620) 332-1940 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3354 Highway 160, Independence, Kansas |
Authorized Official Name and Position | Krista K Postai (CEO) |
Authorized Official Contact | 6202319873 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3011 N Michigan St Pittsburg KS 66762-2546 Ph: (620) 231-9873 | 3354 Highway 160 Independence KS 67301-7841 Ph: (620) 231-1748 |
NPI Number | 1801208053 |
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Provider Enumeration Date | 05/22/2014 |
Last Update Date | 07/16/2021 |
Medicare PECOS PAC ID | 7911816392 |
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Medicare Enrollment ID | O20140818000741 |
Identifier | Type | State | Issuer |
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1801208053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Robert M Osborn Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N. 14th St., Independence, KS 67301 Phone: 620-331-2070 | |