| Community Health Center Of Southeast Kansas, Inc. | |
|
1017 E Market St La Cygne KS 66040-9102 | |
| (913) 757-4575 | |
| Not Available |
| Full Name | Community Health Center Of Southeast Kansas, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1017 E Market St, La Cygne, 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 |
|---|---|
| Community Health Center Of Southeast Kansas, Inc. 3011 N Michigan St Pittsburg KS 66762-2546 Ph: () - | Community Health Center Of Southeast Kansas, Inc. 1017 E Market St La Cygne KS 66040-9102 Ph: (913) 757-4575 |
| NPI Number | 1780354357 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/21/2021 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20211124002201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780354357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Olathe Health Family Medicine-lacygne Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 E Market St, La Cygne, KS 66040 Phone: 913-757-4575 Fax: 913-757-3710 |