| |
300 Utah St Fl 2 Hiawatha KS 66434-2314 | |
(785) 742-2161 | |
(785) 742-6554 |
Full Name | |
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Speciality | Clinic/Center |
Location | 300 Utah St Fl 2, Hiawatha, Kansas |
Authorized Official Name and Position | Jared Abel (CEO) |
Authorized Official Contact | 7857422131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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300 Utah St Hiawatha KS 66434-2326 Ph: (785) 742-2131 | 300 Utah St Fl 2 Hiawatha KS 66434-2314 Ph: (785) 742-2161 |
NPI Number | 1023175064 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 11/15/2024 |
Medicare PECOS PAC ID | 9032007364 |
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Medicare Enrollment ID | O20060222000808 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023175064 | NPI | - | NPPES |
100098990B | Medicaid | KS | |
100098990E | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Searight Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Utah Street, Hiawatha, KS 66434 Phone: 785-742-3523 Fax: 785-742-3355 |