Community Health Center Of Southeast Kansas, Inc. | |
1801 S Broadway St. Pittsburg KS 66762 | |
(888) 777-9170 | |
Not Available |
Full Name | Community Health Center Of Southeast Kansas, Inc. |
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Speciality | Clinic/Center |
Location | 1801 S Broadway St., Pittsburg, Kansas |
Authorized Official Name and Position | Daniel Spencer Creitz (COMPLIANCE OFFICER) |
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: (888) 777-9170 | Community Health Center Of Southeast Kansas, Inc. 1801 S Broadway St. Pittsburg KS 66762 Ph: (888) 777-9170 |
NPI Number | 1457032120 |
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Provider Enumeration Date | 07/26/2023 |
Last Update Date | 08/03/2023 |
Medicare PECOS PAC ID | 7911816392 |
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Medicare Enrollment ID | O20231027001697 |
Identifier | Type | State | Issuer |
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1457032120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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