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205 Hall St Spearville KS 67876-8553 | |
(620) 385-2963 | |
(620) 385-2811 |
Full Name | |
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Speciality | Clinic/Center |
Location | 205 Hall St, Spearville, Kansas |
Authorized Official Name and Position | Jimmie Hansel (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6206593621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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620 W 8th St Kinsley KS 67547-2329 Ph: (620) 659-3621 | 205 Hall St Spearville KS 67876-8553 Ph: (620) 385-2963 |
NPI Number | 1790326189 |
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Provider Enumeration Date | 10/07/2019 |
Last Update Date | 08/30/2022 |
Medicare PECOS PAC ID | 2264343383 |
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Medicare Enrollment ID | O20200727000144 |
Identifier | Type | State | Issuer |
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1790326189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |