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600 E Prairie St Olathe KS 66061-3355 | |
| (913) 648-2266 | |
| (913) 768-1944 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 600 E Prairie 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 | 600 E Prairie St Olathe KS 66061-3355 Ph: (913) 648-2266 |
| NPI Number | 1255974929 |
|---|---|
| Provider Enumeration Date | 10/24/2019 |
| Last Update Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255974929 | NPI | - | NPPES |
| 200852450L | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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