| Community Health Center Of Southeast Kansas, Inc. | |
|
2990 Military Ave Baxter Springs KS 66713-2331 | |
| (620) 856-2900 | |
| (620) 856-2901 |
| Full Name | Community Health Center Of Southeast Kansas, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2990 Military Ave, Baxter Springs, 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 |
|---|---|
| Community Health Center Of Southeast Kansas, Inc. Po Box 1832 Pittsburg KS 66762-1832 Ph: (620) 231-9873 | Community Health Center Of Southeast Kansas, Inc. 2990 Military Ave Baxter Springs KS 66713-2331 Ph: (620) 856-2900 |
| NPI Number | 1932414224 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 02/08/2012 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20110504000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932414224 | NPI | - | NPPES |
| 200099190E | Medicaid | OK | |
| 100456320V | Medicaid | KS | |
| 110931 | Other | KS | MEDICARE PART B |
| 1932414224 | Medicaid | MO | |
| 17-1838 | Other | KS | MEDICARE PART A |
| 1932414224 | Other | KS | BCBS KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Burden Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 E 10th St, Baxter Springs, KS 66713 Phone: 620-856-3469 | |
Community Health Center Of Southeast Kansas Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 N Military Ave, Baxter Springs, KS 66713 Phone: 888-777-9170 | |
St. John's Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 E 10th St, Baxter Springs, KS 66713 Phone: 620-856-3469 Fax: 620-856-5330 |