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1719 Highway 183 Phillipsburg KS 67661-2549 | |
(785) 543-5211 | |
(785) 543-5274 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1719 Highway 183, Phillipsburg, Kansas |
Authorized Official Name and Position | Tara Overmiller (COO) |
Authorized Official Contact | 7855404925 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1719 Highway 183 P.o. Box 547 Phillipsburg KS 67661-2549 Ph: (785) 543-5211 | 1719 Highway 183 Phillipsburg KS 67661-2549 Ph: (785) 543-5211 |
NPI Number | 1366499717 |
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Provider Enumeration Date | 05/30/2006 |
Last Update Date | 12/21/2022 |
Medicare PECOS PAC ID | 7012231251 |
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Medicare Enrollment ID | O20150304001178 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366499717 | NPI | - | NPPES |
100409050D | Medicaid | KS | |
100409050B | Medicaid | KS |
Doctors Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 State St, Phillipsburg, KS 67661 Phone: 785-540-4118 |