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1005 N B Street Herington KS 67449-1600 | |
(785) 258-5130 | |
(785) 258-5129 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1005 N B Street, Herington, Kansas |
Authorized Official Name and Position | Michael Ryan (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7852582207 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1005 N B Street Herington KS 67449-1600 Ph: (785) 258-5130 | 1005 N B Street Herington KS 67449-1600 Ph: (785) 258-5130 |
NPI Number | 1093716623 |
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Provider Enumeration Date | 08/04/2005 |
Last Update Date | 07/06/2012 |
Identifier | Type | State | Issuer |
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1093716623 | NPI | - | NPPES |
100011610B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dr. John D. Mosier, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 N Broadway, Herington, KS 67449 Phone: 785-366-6457 |