Family Care Center | |
155 West College Drive Concordia KS 66901 | |
(785) 243-4272 | |
(785) 243-4275 |
Full Name | Family Care Center |
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Speciality | Clinic/Center |
Location | 155 West College Drive, Concordia, Kansas |
Authorized Official Name and Position | David Garnas (ADMINISTRATOR) |
Authorized Official Contact | 7852431234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Care Center 155 W College Dr Concordia KS 66901-5207 Ph: (785) 243-4272 | Family Care Center 155 West College Drive Concordia KS 66901 Ph: (785) 243-4272 |
NPI Number | 1003950189 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 12/27/2023 |
Medicare PECOS PAC ID | 4082522859 |
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Medicare Enrollment ID | O20050222000898 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003950189 | NPI | - | NPPES |
30003913460001 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Timothy Lawton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780686063 PECOS PAC ID: 5193765451 Enrollment ID: I20050506000139 |
Provider Name | Lisa A Koch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093725905 PECOS PAC ID: 7911097977 Enrollment ID: I20071214000494 |
Provider Name | James D Anderson |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1801892377 PECOS PAC ID: 9436193521 Enrollment ID: I20080112000110 |
Provider Name | Norma K Linde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710134614 PECOS PAC ID: 0941378848 Enrollment ID: I20081006000207 |
Provider Name | Christel Lynn Burke |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386892206 PECOS PAC ID: 7719034941 Enrollment ID: I20090406000082 |
Provider Name | Justin M Poore |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306849161 PECOS PAC ID: 8729182548 Enrollment ID: I20100910001017 |
Provider Name | Dorothy E Breault |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245458256 PECOS PAC ID: 2769678499 Enrollment ID: I20101120000067 |
Provider Name | Frank R Reese |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1902853328 PECOS PAC ID: 5890977938 Enrollment ID: I20110310000112 |
Provider Name | Jennifer K Garrett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659625523 PECOS PAC ID: 8729224464 Enrollment ID: I20130424000862 |
Provider Name | Ronald B Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891042685 PECOS PAC ID: 9335380906 Enrollment ID: I20130724000176 |
Provider Name | Teresa K Pearson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952733149 PECOS PAC ID: 7315172350 Enrollment ID: I20131030000172 |
Provider Name | Jayne M Gunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235478058 PECOS PAC ID: 9931341252 Enrollment ID: I20140520001316 |
Provider Name | Daniel J Garlow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730470097 PECOS PAC ID: 2860664695 Enrollment ID: I20141030002098 |
Provider Name | Susan Close |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023422342 PECOS PAC ID: 7416173893 Enrollment ID: I20141117001193 |
Provider Name | Jose L Renteria |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053704361 PECOS PAC ID: 1951629963 Enrollment ID: I20150422001832 |
Provider Name | Shawna Rae Huggans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659751238 PECOS PAC ID: 3870800303 Enrollment ID: I20150916001919 |
Provider Name | Jennifer A Canfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215337548 PECOS PAC ID: 6507167251 Enrollment ID: I20151222001528 |
Provider Name | Tiffany N Naccarato |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740659887 PECOS PAC ID: 6800106444 Enrollment ID: I20160108002320 |
Provider Name | Danielle E Stenger |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1578950846 PECOS PAC ID: 4183927106 Enrollment ID: I20160126001733 |
Provider Name | Brenda S Salazar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033669247 PECOS PAC ID: 5496033615 Enrollment ID: I20161024000298 |
Provider Name | Kelli J Swayden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932434065 PECOS PAC ID: 5597880344 Enrollment ID: I20180321002597 |
Provider Name | Jason E Kimm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144749672 PECOS PAC ID: 8628332244 Enrollment ID: I20180508001466 |
Provider Name | Shannon Nanelle Sandefur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043811565 PECOS PAC ID: 6800209412 Enrollment ID: I20201228001482 |
Provider Name | Mayra A Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427646637 PECOS PAC ID: 3476960378 Enrollment ID: I20210319001913 |
Provider Name | Anthony J Ivey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033728555 PECOS PAC ID: 7810391513 Enrollment ID: I20210803000694 |
Provider Name | Damandeep S Walia |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1225160674 PECOS PAC ID: 7113010984 Enrollment ID: I20230207003149 |
Provider Name | Lori Jean Golbek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174220651 PECOS PAC ID: 2769856277 Enrollment ID: I20230324000652 |
Family Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 155 West College Drive, Concordia, KS 66901 Phone: 785-243-4272 Fax: 785-243-4275 |