Heritage Medical Associates, P.a. | |
500 W 4th St Peabody KS 66866-1103 | |
(620) 983-2171 | |
(620) 983-2575 |
Full Name | Heritage Medical Associates, P.a. |
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Speciality | Family Medicine |
Location | 500 W 4th St, Peabody, Kansas |
Authorized Official Name and Position | Randolph Richard Whitely (DIRECTOR) |
Authorized Official Contact | 6209832171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heritage Medical Associates, P.a. 11881 Sw 47th Ter Towanda KS 67144-9264 Ph: (316) 778-2050 | Heritage Medical Associates, P.a. 500 W 4th St Peabody KS 66866-1103 Ph: (620) 983-2171 |
NPI Number | 1316998305 |
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Provider Enumeration Date | 05/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1316998305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 04-25153 (Kansas) | Primary |