| Community Health Center Of Southeast Kansas, Inc. | |
|
1978 E 4th St Pittsburg KS 66762-9100 | |
| (620) 670-3896 | |
| (620) 231-5062 |
| Full Name | Community Health Center Of Southeast Kansas, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1978 E 4th St, Pittsburg, 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: (620) 231-9873 | Community Health Center Of Southeast Kansas, Inc. 1978 E 4th St Pittsburg KS 66762-9100 Ph: (620) 670-3896 |
| NPI Number | 1710536966 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 09/10/2019 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20190927002106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710536966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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