<unavail> in Independence, KS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Independence, Kansas. The current practice location for is 122 W Myrtle St Lowr Level, Independence, Kansas. For appointments, you can reach them via phone at (620) 577-4062. The mailing address for is 1400 W 4th St, Coffeyville, Kansas and phone number is (620) 251-1200.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295284842. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (620) 577-4062.

Contact Information


	122 W Myrtle St Lowr Level Independence KS 67301-3317
	(620) 577-4062
	(620) 577-4064

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	122 W Myrtle St Lowr Level, Independence, Kansas
Authorized Official Name and Position	Brian Lawrence (CEO)
Authorized Official Contact	6202511200
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1400 W 4th St Coffeyville KS 67337-3306 Ph: (620) 251-1200	122 W Myrtle St Lowr Level Independence KS 67301-3317 Ph: (620) 577-4062

NPI Details:

NPI Number	1295284842
Provider Enumeration Date	09/23/2016
Last Update Date	03/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	9032108865
Medicare Enrollment ID	O20170710001364

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295284842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Independence, KS

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Peter Pan Rd Ste B, Independence, KS 67301 Phone: 620-577-4310
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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Myrtle St, Suite 105, Independence, KS 67301 Phone: 620-331-8190 Fax: 620-652-4143

- Medicare Primary Care in Independence, KS