|
| |
|
14545 W 127th St Olathe KS 66062-1486 | |
| (913) 648-2266 | |
| (913) 768-1944 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14545 W 127th St, Olathe, Kansas |
| Authorized Official Name and Position | Billie Reese-turner (DIRECTOR OF BILLING & PATIENT SVCS) |
| Authorized Official Contact | 9137303674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
405 S Clairborne Rd Ste 2 Olathe KS 66062-1774 Ph: (913) 648-2266 | 14545 W 127th St Olathe KS 66062-1486 Ph: (913) 648-2266 |
| NPI Number | 1235773714 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235773714 | NPI | - | NPPES |
| 200852450K | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Populus Physician Services, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15710 W 135th St Fl 2, Olathe, KS 66062 Phone: 913-708-1169 | |
Audacity Business Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 N Meadowbrook Dr Ste 110, Olathe, KS 66062 Phone: 762-338-1275 | |
American Current Care Of Kansas Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15430 S Rogers Rd, Olathe, KS 66062 Phone: 913-495-9905 Fax: 913-495-9945 |