Community Health Center Of Southeast Kansas, Inc. | |
2322 S Main St Fort Scott KS 66701-3026 | |
(620) 231-9873 | |
(620) 231-5062 |
Full Name | Community Health Center Of Southeast Kansas, Inc. |
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Speciality | Clinic/Center |
Location | 2322 S Main St, Fort Scott, Kansas |
Authorized Official Name and Position | Daniel Spencer Creitz (GENERAL COUNSEL) |
Authorized Official Contact | 6202405015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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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. 2322 S Main St Fort Scott KS 66701-3026 Ph: (620) 231-9873 |
NPI Number | 1336624527 |
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Provider Enumeration Date | 10/03/2018 |
Last Update Date | 04/20/2023 |
Medicare PECOS PAC ID | 7911816392 |
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Medicare Enrollment ID | O20181226001570 |
Identifier | Type | State | Issuer |
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1336624527 | NPI | - | NPPES |
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