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310 East College Drive Colby KS 67701-3716 | |
(785) 462-6184 | |
(785) 460-1490 |
Full Name | |
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Speciality | Clinic/Center |
Location | 310 East College Drive, Colby, Kansas |
Authorized Official Name and Position | Scott R Focke (CLINIC MANAGER) |
Authorized Official Contact | 7854626184 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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310 East College Drive Colby KS 67701-3716 Ph: (785) 462-6184 | 310 East College Drive Colby KS 67701-3716 Ph: (785) 462-6184 |
NPI Number | 1053406330 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 01/08/2016 |
Medicare PECOS PAC ID | 8729996467 |
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Medicare Enrollment ID | O20030129000001 |
Identifier | Type | State | Issuer |
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1053406330 | NPI | - | NPPES |
100098840F | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
County Of Thomas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 S Range Ave Ste 2, Colby, KS 67701 Phone: 785-460-4596 Fax: 785-460-4595 | |