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1001 N Brady St Abilene KS 67410-1801 | |
(785) 263-4179 | |
(785) 263-0335 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1001 N Brady St, Abilene, Kansas |
Authorized Official Name and Position | John Hultgren (DIRECTOR OF HD) |
Authorized Official Contact | 7852634179 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1001 N Brady St Abilene KS 67410-1801 Ph: (785) 263-4179 | 1001 N Brady St Abilene KS 67410-1801 Ph: (785) 263-4179 |
NPI Number | 1568544617 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 11/06/2014 |
Medicare PECOS PAC ID | 7517914740 |
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Medicare Enrollment ID | O20141027000485 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568544617 | NPI | - | NPPES |
100114140A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Berkley Sheern & Holmes Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 N Brady St, Abilene, KS 67410 Phone: 785-263-4131 Fax: 785-263-1634 | |
Family Care Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 N Brady St, Abilene, KS 67410 Phone: 785-263-4131 Fax: 785-263-1634 | |