| Carearc, Inc. | |
|
420 W 15th Ave Emporia KS 66801-5367 | |
| (620) 342-4864 | |
| (620) 343-3545 |
| Full Name | Carearc, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 W 15th Ave, Emporia, Kansas |
| Authorized Official Name and Position | Renee E Hively (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6203424864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carearc, Inc. 420 W 15th Ave Emporia KS 66801-5367 Ph: (620) 342-4864 | Carearc, Inc. 420 W 15th Ave Emporia KS 66801-5367 Ph: (620) 342-4864 |
| NPI Number | 1467413906 |
|---|---|
| Provider Enumeration Date | 03/31/2006 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 2961474663 |
|---|---|
| Medicare Enrollment ID | O20040812000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467413906 | NPI | - | NPPES |
| 100337800E | Medicaid | KS | |
| 100337800M | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0427968 (Kansas) | Primary |
| Provider Name | Kendall M Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003838335 PECOS PAC ID: 8325031511 Enrollment ID: I20040405000870 |
| Provider Name | Margaret A Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962424200 PECOS PAC ID: 2567455751 Enrollment ID: I20040405000903 |
| Provider Name | Melanie S Byram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457355216 PECOS PAC ID: 0345200283 Enrollment ID: I20041014000568 |
| Provider Name | Todd M Detwiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396796181 PECOS PAC ID: 4486692019 Enrollment ID: I20050422000824 |
| Provider Name | Michael D Mcclintick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306954409 PECOS PAC ID: 3779573647 Enrollment ID: I20050519000849 |
| Provider Name | Vanessa Kay Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356363691 PECOS PAC ID: 7719978733 Enrollment ID: I20050801000856 |
| Provider Name | Tamara L Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508896143 PECOS PAC ID: 9032143045 Enrollment ID: I20050920000532 |
| Provider Name | Lynn A Bridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942262274 PECOS PAC ID: 3870504293 Enrollment ID: I20060524000215 |
| Provider Name | Dilip M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578688487 PECOS PAC ID: 3577637461 Enrollment ID: I20080812000088 |
| Provider Name | Joyce A Shively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962774166 PECOS PAC ID: 5294995684 Enrollment ID: I20120321000856 |
| Provider Name | Erin A Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740616788 PECOS PAC ID: 4284863549 Enrollment ID: I20140206001750 |
| Provider Name | Opal Peggysue Fell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205140621 PECOS PAC ID: 6002037330 Enrollment ID: I20141029001857 |
| Provider Name | Julie A Weakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962883637 PECOS PAC ID: 1850605924 Enrollment ID: I20150803001568 |
| Provider Name | Shannon S Barus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437671476 PECOS PAC ID: 0840563433 Enrollment ID: I20170901001489 |
| Provider Name | Rolanda J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528202249 PECOS PAC ID: 2466727730 Enrollment ID: I20171023002981 |
| Provider Name | Rachel S Glidden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447740642 PECOS PAC ID: 0749536670 Enrollment ID: I20180709001316 |
| Provider Name | Anita M Isbell Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487135836 PECOS PAC ID: 6901150523 Enrollment ID: I20181119001701 |
| Provider Name | Jena L Dunham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457879850 PECOS PAC ID: 7911236542 Enrollment ID: I20190907000219 |
| Provider Name | Samantha J Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720633019 PECOS PAC ID: 0648501676 Enrollment ID: I20191007000274 |
| Provider Name | Luz Dary Horton |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114566684 PECOS PAC ID: 7719317957 Enrollment ID: I20200430001670 |
| Provider Name | Jessica J Hinchcliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326686767 PECOS PAC ID: 4587085378 Enrollment ID: I20200603001080 |
| Provider Name | Angela Christine Kingsbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427662865 PECOS PAC ID: 7517387798 Enrollment ID: I20201009001693 |
| Provider Name | Jordan L Blaufuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831763622 PECOS PAC ID: 1658771993 Enrollment ID: I20210608003346 |
| Provider Name | Sharita Marie Stutesman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043829989 PECOS PAC ID: 7911382908 Enrollment ID: I20220912001574 |
| Provider Name | Tywanda Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194960302 PECOS PAC ID: 8325221674 Enrollment ID: I20221018001533 |
| Provider Name | Jason D Poston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841635380 PECOS PAC ID: 6002057692 Enrollment ID: I20221019000730 |
| Provider Name | Christina Renee Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104401702 PECOS PAC ID: 3577616390 Enrollment ID: I20221024000124 |
| Provider Name | Daniel Joel Canaday |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710671904 PECOS PAC ID: 4880052802 Enrollment ID: I20230623001997 |
| Provider Name | Christina Marie Farr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699458091 PECOS PAC ID: 2668836289 Enrollment ID: I20230915001329 |
| Provider Name | Amanda Folsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851916837 PECOS PAC ID: 1254728629 Enrollment ID: I20240507004088 |
Dr. Charisse Symmonds, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1211 Stanton St, Emporia, KS 66801 Phone: 620-208-9888 Fax: 207-202-3058 | |
Newman Medical Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 W 12th Ave Ste 301, Emporia, KS 66801 Phone: 620-343-2376 | |
Internal Medicine Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 W 12th Ave, Ste 202, Emporia, KS 66801 Phone: 620-342-2521 Fax: 620-342-6520 | |
Flint Hills Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1602 W 15th Ave # F, Emporia, KS 66801 Phone: 620-343-2500 Fax: 620-343-2828 | |
Emporia Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 W 12th Ave, Suite 301, Emporia, KS 66801 Phone: 620-343-2376 Fax: 620-343-0095 | |
Department Of Student Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Commercial St, Campus Box 4008, Emporia, KS 66801 Phone: 620-341-5222 Fax: 620-341-5045 |