Ecmc-rural Health Clinic Holyrood | |
101 S. Main St. Holyrood KS 67450-9642 | |
(785) 252-3565 | |
(785) 252-3574 |
Full Name | Ecmc-rural Health Clinic Holyrood |
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Speciality | Family Medicine |
Location | 101 S. Main St., Holyrood, Kansas |
Authorized Official Name and Position | James Kirkbride (CEO) |
Authorized Official Contact | 7854723111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ecmc-rural Health Clinic Holyrood 1602 Aylward Ave Ellsworth KS 67439-2541 Ph: (785) 472-3111 | Ecmc-rural Health Clinic Holyrood 101 S. Main St. Holyrood KS 67450-9642 Ph: (785) 252-3565 |
NPI Number | 1689674657 |
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Provider Enumeration Date | 07/29/2005 |
Last Update Date | 03/19/2024 |
Medicare PECOS PAC ID | 5395643357 |
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Medicare Enrollment ID | O20031229000647 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689674657 | NPI | - | NPPES |
30003930830003 | Medicaid | KS | |
887 | Other | KS | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Kansas) | Primary |