| |
401 S Washington Ave Iola KS 66749-3256 | |
(620) 365-6933 | |
(620) 365-8126 |
Full Name | |
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Speciality | Family Medicine |
Location | 401 S Washington Ave, Iola, Kansas |
Authorized Official Name and Position | Edward J Hett (DO/MANAGING PARTNER) |
Authorized Official Contact | 6203656933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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401 S Washington Ave Iola KS 66749-3256 Ph: (620) 365-6933 | 401 S Washington Ave Iola KS 66749-3256 Ph: (620) 365-6933 |
NPI Number | 1316952070 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 01/05/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316952070 | NPI | - | NPPES |
100088910 E | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Community Health Center Of Southeast Kansas, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 N Kentucky St, Iola, KS 66749 Phone: 888-777-9170 Fax: 620-231-5062 | |
Community Health Center Of Southeast Kansas, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2051 N State St, Iola, KS 66749 Phone: 620-380-6600 Fax: 620-380-6215 |