| Haskell Indian Health Center | |
|
2415 Massachusetts St Lawrence KS 66046-4827 | |
| (785) 832-4819 | |
| (785) 832-4887 |
| Full Name | Haskell Indian Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2415 Massachusetts St, Lawrence, Kansas |
| Authorized Official Name and Position | Shannon Lowe (ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 7858324821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haskell Indian Health Center 2415 Massachusetts St Lawrence KS 66046-4827 Ph: (785) 832-4819 | Haskell Indian Health Center 2415 Massachusetts St Lawrence KS 66046-4827 Ph: (785) 832-4819 |
| NPI Number | 1700915782 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 3577475664 |
|---|---|
| Medicare Enrollment ID | O20031105000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700915782 | NPI | - | NPPES |
| 100643210A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
| Provider Name | Mark S James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649383662 PECOS PAC ID: 4486709151 Enrollment ID: I20090901000519 |
| Provider Name | Mark E Rathgeber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114090248 PECOS PAC ID: 4789878422 Enrollment ID: I20120417000672 |
| Provider Name | Jessica J Acosta-van Den Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922404888 PECOS PAC ID: 8729301098 Enrollment ID: I20141218001322 |
| Provider Name | Matthew B Geiger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790160612 PECOS PAC ID: 4183932692 Enrollment ID: I20151020002800 |
| Provider Name | Linda Pietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841612678 PECOS PAC ID: 3274765136 Enrollment ID: I20160119000910 |
| Provider Name | Hannah E Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457784936 PECOS PAC ID: 3173753738 Enrollment ID: I20170313002117 |
| Provider Name | Andrew B Slikker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255751632 PECOS PAC ID: 3971865536 Enrollment ID: I20180319001000 |
| Provider Name | Sarah Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003127085 PECOS PAC ID: 4789820911 Enrollment ID: I20190919002115 |
| Provider Name | Patrick Pruitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356816631 PECOS PAC ID: 4082982269 Enrollment ID: I20211130002867 |
| Provider Name | Rachel Hanna Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285098863 PECOS PAC ID: 6103216429 Enrollment ID: I20211201000035 |
| Provider Name | Krista Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770009870 PECOS PAC ID: 8820488083 Enrollment ID: I20211202000578 |
| Provider Name | Daniel L Bench |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598156416 PECOS PAC ID: 4688992902 Enrollment ID: I20211203000137 |
| Provider Name | Jeremie Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194175018 PECOS PAC ID: 1153790167 Enrollment ID: I20221214002035 |
| Provider Name | Michael Edward Sabatino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447425673 PECOS PAC ID: 1951571736 Enrollment ID: I20230526000985 |
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Lmh Health Primary Care - 6th & Folks Road Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4525 W 6th St, Suite 100, Lawrence, KS 66049 Phone: 785-505-5160 Fax: 785-505-5282 | |
Lmh Wellcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 W 4th St Ste 1015, Lawrence, KS 66044 Phone: 785-505-3114 Fax: 785-505-3126 | |
Reed Medical Group Mdvip Affiliate Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1112 W 6th St Ste 214a, Lawrence, KS 66044 Phone: 785-505-5671 Fax: 785-505-5336 | |
The Internal Medicine Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4525 W 6th St Ste 100, Lawrence, KS 66049 Phone: 785-843-5160 | |
David Herrera Dc, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1311 Wakarusa Dr, Suite 2121, Lawrence, KS 66049 Phone: 785-856-4278 Fax: 785-856-4279 | |
Lmh Health Primary Care - South Iowa Street Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3211 S Iowa St Ste 100, Lawrence, KS 66046 Phone: 785-505-5475 Fax: 785-505-5326 |