| |
1115 Main St Sabetha KS 66534-1832 | |
(785) 284-2141 | |
(785) 284-0022 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1115 Main St, Sabetha, Kansas |
Authorized Official Name and Position | James Longabaugh (CEO) |
Authorized Official Contact | 7852842121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 247 Sabetha KS 66534-0247 Ph: (785) 284-2141 | 1115 Main St Sabetha KS 66534-1832 Ph: (785) 284-2141 |
NPI Number | 1598328387 |
---|---|
Provider Enumeration Date | 04/17/2019 |
Last Update Date | 03/27/2024 |
Medicare PECOS PAC ID | 5698676146 |
---|---|
Medicare Enrollment ID | O20181009000759 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598328387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |