| Gracemed Clearwater Family Clinic | |
|
101 E Ross St Clearwater KS 67026-7824 | |
| (316) 866-2000 | |
| Not Available |
| Full Name | Gracemed Clearwater Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 E Ross St, Clearwater, Kansas |
| Authorized Official Name and Position | Venus Lee (CEO) |
| Authorized Official Contact | 3168662064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracemed Clearwater Family Clinic 1122 N Topeka St Wichita KS 67214-2810 Ph: (316) 866-2000 | Gracemed Clearwater Family Clinic 101 E Ross St Clearwater KS 67026-7824 Ph: (316) 866-2000 |
| NPI Number | 1568947737 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 02/01/2022 |
| Medicare PECOS PAC ID | 9830098185 |
|---|---|
| Medicare Enrollment ID | O20181018002317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568947737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Clearwater Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Ross St, Clearwater, KS 67026 Phone: 620-584-2055 Fax: 620-584-2032 |