| Family Practice Associates | |
|
120 W Ross Blvd Dodge City KS 67801-2131 | |
| (620) 225-1650 | |
| (620) 227-2505 |
| Full Name | Family Practice Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 W Ross Blvd, Dodge City, Kansas |
| Authorized Official Name and Position | Roger C Trotter (PARTNER) |
| Authorized Official Contact | 6202251650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates 120 W Ross Blvd Dodge City KS 67801-2131 Ph: (620) 225-1650 | Family Practice Associates 120 W Ross Blvd Dodge City KS 67801-2131 Ph: (620) 225-1650 |
| NPI Number | 1841255437 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 5698684512 |
|---|---|
| Medicare Enrollment ID | O20030415000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841255437 | NPI | - | NPPES |
| 100388180C | Medicaid | KS | |
| 100388180A | Medicaid | KS | |
| 110630 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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