| Community Health Center Of Southeast Kansas, Inc. | |
|
1216 Hawaii Rd Humboldt KS 66748-1390 | |
| (620) 473-1002 | |
| Not Available |
| Full Name | Community Health Center Of Southeast Kansas, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1216 Hawaii Rd, Humboldt, Kansas |
| Authorized Official Name and Position | Daniel Spencer Creitz (CCO) |
| Authorized Official Contact | 6202405015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Southeast Kansas, Inc. Po Box 1832 Pittsburg KS 66762-1832 Ph: () - | Community Health Center Of Southeast Kansas, Inc. 1216 Hawaii Rd Humboldt KS 66748-1390 Ph: (620) 473-1002 |
| NPI Number | 1801643200 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801643200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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