Full Name | |
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Speciality | Clinic/center |
Location | 207 5th St, Axtell, Kansas |
Authorized Official Name and Position | Stan Regehr (CEO) |
Authorized Official Contact | 7853362189 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1600 Community Dr Seneca KS 66538-9739 Ph: (785) 336-6107 | 207 5th St Axtell KS 66403-9623 Ph: (785) 336-6107 |
NPI Number | 1336386564 |
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Provider Enumeration Date | 01/09/2009 |
Last Update Date | 06/25/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336386564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |