| Community Health Center Of Southeast Kansas, Inc | |
|
102 S Cline Coffeyville KS 67337-3022 | |
| (620) 252-6989 | |
| (620) 251-3691 |
| Full Name | Community Health Center Of Southeast Kansas, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 S Cline, Coffeyville, Kansas |
| Authorized Official Name and Position | Krista 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 102 S Cline Coffeyville KS 67337-3022 Ph: (620) 252-6989 |
| NPI Number | 1487939773 |
|---|---|
| Provider Enumeration Date | 10/18/2011 |
| Last Update Date | 07/02/2012 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20111108000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487939773 | NPI | - | NPPES |
| 100456330C | Medicaid | KS | |
| 200099190F | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Coffeyville Regional Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 W 4th St, Ste 100, Coffeyville, KS 67337 Phone: 620-688-6566 | |
Chc/sek's Field Kindley Student Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 W 8th St, Coffeyville, KS 67337 Phone: 620-252-1798 Fax: 620-252-1799 | |
Coffeyville Family Practice Clinic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 W 7th St, Coffeyville, KS 67337 Phone: 620-251-1100 Fax: 620-251-7466 | |
Coffeyville Doctors Clinic P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W 8th St, Coffeyville, KS 67337 Phone: 620-251-7500 Fax: 620-252-1715 | |
Southeast Kansas Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 W 4th St, Coffeyville, KS 67337 Phone: 620-251-2400 Fax: 620-251-1619 | |
Coffeyville Regional Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W 4th St, Coffeyville, KS 67337 Phone: 620-688-6566 Fax: 620-688-6577 |