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1005 N B St Herington KS 67449-1600 | |
(785) 258-5130 | |
(785) 258-5129 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1005 N B St, Herington, Kansas |
Authorized Official Name and Position | Isabel S Schmedemann (CEO) |
Authorized Official Contact | 7852585132 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1386 Junction City KS 66441-1386 Ph: (785) 258-5130 | 1005 N B St Herington KS 67449-1600 Ph: (785) 258-5130 |
NPI Number | 1447829536 |
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Provider Enumeration Date | 06/22/2021 |
Last Update Date | 07/13/2022 |
Medicare PECOS PAC ID | 8527469188 |
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Medicare Enrollment ID | O20210713002964 |
Identifier | Type | State | Issuer |
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1447829536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Vikki L Gambrill |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1255308292 PECOS PAC ID: 9234023953 Enrollment ID: I20040212000103 |
Provider Name | Arlo J Reimer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487625596 PECOS PAC ID: 5294761573 Enrollment ID: I20050711000133 |
Provider Name | Christel Lynn Burke |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386892206 PECOS PAC ID: 7719034941 Enrollment ID: I20090406000082 |
Provider Name | Trent J Timson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1033229448 PECOS PAC ID: 2668508805 Enrollment ID: I20100327000030 |
Provider Name | Jennifer Lynn Diekmann |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1508998600 PECOS PAC ID: 9739210154 Enrollment ID: I20100629000767 |
Provider Name | Gregory M Erb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366593915 PECOS PAC ID: 0749466233 Enrollment ID: I20110518000145 |
Provider Name | Michelle R Tunnell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144618216 PECOS PAC ID: 4789997073 Enrollment ID: I20150715001630 |
Provider Name | Jennifer E Thuener |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316268592 PECOS PAC ID: 0143478255 Enrollment ID: I20151228000777 |
Provider Name | Danielle E Stenger |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1578950846 PECOS PAC ID: 4183927106 Enrollment ID: I20160126001733 |
Provider Name | Nathan Blake Norris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396184420 PECOS PAC ID: 3072837756 Enrollment ID: I20160622001761 |
Provider Name | Brenda S Salazar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033669247 PECOS PAC ID: 5496033615 Enrollment ID: I20161024000298 |
Provider Name | Vincent O Mogoi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386181832 PECOS PAC ID: 5294010070 Enrollment ID: I20170317000112 |
Provider Name | Nathan M Davis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376990564 PECOS PAC ID: 6507157476 Enrollment ID: I20190621002746 |
Provider Name | Kelly Trickey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871119727 PECOS PAC ID: 6002230455 Enrollment ID: I20200701000318 |
Provider Name | Robert W Moser |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497107031 PECOS PAC ID: 6709171598 Enrollment ID: I20200720002029 |
Provider Name | Phanthavong Boon |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1184607285 PECOS PAC ID: 1052711157 Enrollment ID: I20210610003059 |
Provider Name | Derek A Christensen |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1992327936 PECOS PAC ID: 4880019785 Enrollment ID: I20211007000277 |
Provider Name | Erica Sergent |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619431426 PECOS PAC ID: 0345655254 Enrollment ID: I20220830001810 |
Provider Name | Abby Hanzlicek |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255960951 PECOS PAC ID: 1052734597 Enrollment ID: I20230103002639 |
Provider Name | Towne R Walston |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1275100075 PECOS PAC ID: 3274937495 Enrollment ID: I20230816000412 |
Dr. John D. Mosier, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 N Broadway, Herington, KS 67449 Phone: 785-366-6457 |