| Community Health Center Of Southeast Kansas Inc | |
|
124 S Highschool Ave Columbus KS 66725-1159 | |
| (888) 777-9170 | |
| (620) 231-5062 |
| Full Name | Community Health Center Of Southeast Kansas Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 S Highschool Ave, Columbus, Kansas |
| Authorized Official Name and Position | Daniel Spencer Creitz (SR VP) |
| Authorized Official Contact | 6202405015 |
| 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: (888) 777-9170 | Community Health Center Of Southeast Kansas Inc 124 S Highschool Ave Columbus KS 66725-1159 Ph: (888) 777-9170 |
| NPI Number | 1417656166 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20230420000949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417656166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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