| Good Samaritan Clinic | |
|
3701 E 13th St N Wichita KS 67208-2080 | |
| (316) 688-5020 | |
| Not Available |
| Full Name | Good Samaritan Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3701 E 13th St N, Wichita, Kansas |
| Authorized Official Name and Position | Fred Mcclean (PRESIDENT) |
| Authorized Official Contact | 3166885020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Clinic Po Box 676 Wichita KS 67201-0676 Ph: (316) 685-3698 | Good Samaritan Clinic 3701 E 13th St N Wichita KS 67208-2080 Ph: (316) 688-5020 |
| NPI Number | 1770536401 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770536401 | NPI | - | NPPES |
| 016379 | Other | KS | BCBS |
| CS0608 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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