Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 321 E Harper, Tribune, Kansas |
Authorized Official Name and Position | Jennie Cowles (OFFICE MANAGER) |
Authorized Official Contact | 6203764251 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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102 East Avenue B Syracuse KS 67878 Ph: (620) 384-6907 | 321 E Harper Tribune KS 67879 Ph: (620) 376-4251 |
NPI Number | 1417161001 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417161001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |