Harder Family Practice, P.a. | |
2820 Ohio St Augusta KS 67010-2361 | |
(316) 775-7500 | |
(316) 775-3685 |
Full Name | Harder Family Practice, P.a. |
---|---|
Speciality | Family Medicine |
Location | 2820 Ohio St, Augusta, Kansas |
Authorized Official Name and Position | Robin K Hoefgen (OFFICE MANAGER) |
Authorized Official Contact | 3167757500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harder Family Practice, P.a. 2820 Ohio St Augusta KS 67010-2361 Ph: (316) 775-7500 | Harder Family Practice, P.a. 2820 Ohio St Augusta KS 67010-2361 Ph: (316) 775-7500 |
NPI Number | 1891730339 |
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Provider Enumeration Date | 06/18/2006 |
Last Update Date | 11/05/2024 |
Medicare PECOS PAC ID | 4183698756 |
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Medicare Enrollment ID | O20040820000741 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891730339 | NPI | - | NPPES |
1700218914 | Other | KS | MIDLEVEL IND NPI |
3000443620001 | Medicaid | KS | |
102644 | Other | KS | GRP PTAN |
102650 | Other | KS | IND PTAN |
17D1008887 | Other | KS | CLIA |
1205272259 | Other | KS | MIDLEVEL IND NPI |
1902412117 | Other | KS | MIDLEVEL IND. NPI |
3000388587001 | Medicaid | KS | |
1114372083 | Other | KS | MIDLEVEL IND. NPI |
1891730339 | Other | KS | GRP. NPI |
1932166154 | Other | KS | IND. NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 05-28837 (Kansas) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Scott N Harder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932166154 PECOS PAC ID: 9537133004 Enrollment ID: I20050711000234 |
Provider Name | Lisa A Gilmore |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1205272259 PECOS PAC ID: 8628210473 Enrollment ID: I20140305001569 |
Provider Name | Abigail L Oliver |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700218914 PECOS PAC ID: 1658503370 Enrollment ID: I20140411001309 |
Provider Name | Virginia K Hoefgen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114372083 PECOS PAC ID: 1951694587 Enrollment ID: I20160720000824 |
Provider Name | Davina I Little |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902412117 PECOS PAC ID: 9133548357 Enrollment ID: I20201007001293 |
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