| Community Health Center Of Southeast Kansas, Inc. | |
|
302 N 1st St Mound City KS 66056-5279 | |
| (913) 795-8302 | |
| (913) 795-8002 |
| Full Name | Community Health Center Of Southeast Kansas, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 N 1st St, Mound City, 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. Po Box 1832 Pittsburg KS 66762-1832 Ph: (620) 231-9873 | Community Health Center Of Southeast Kansas, Inc. 302 N 1st St Mound City KS 66056-5279 Ph: (913) 795-8302 |
| NPI Number | 1558830182 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 12/13/2018 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20190319000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558830182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Olathe Health Family Medicine-mound City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N 1st St, Mound City, KS 66056 Phone: 913-795-2203 Fax: 913-795-2701 | |
Olathe Health Family Medicine-mound City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N 1st St, Mound City, KS 66056 Phone: 913-795-2203 Fax: 913-795-2701 |