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311 W Locust St Troy KS 66087-5252 | |
(785) 985-3504 | |
(785) 985-3813 |
Full Name | |
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Speciality | Clinic/Center |
Location | 311 W Locust St, Troy, Kansas |
Authorized Official Name and Position | Jared Abel (CEO) |
Authorized Official Contact | 9133672131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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800 Ravenhill Dr Atchison KS 66002-9204 Ph: (913) 367-2131 | 311 W Locust St Troy KS 66087-5252 Ph: (785) 985-3504 |
NPI Number | 1104905033 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 11/15/2024 |
Medicare PECOS PAC ID | 2466363858 |
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Medicare Enrollment ID | O20030903000033 |
Identifier | Type | State | Issuer |
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1104905033 | NPI | - | NPPES |
100098780E | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |