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415 W Main St Highland KS 66035-4143 | |
(785) 442-3213 | |
(785) 442-5572 |
Full Name | |
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Speciality | Clinic/Center |
Location | 415 W Main St, Highland, Kansas |
Authorized Official Name and Position | Jared Abel (CEO) |
Authorized Official Contact | 7857422131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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300 Utah St Hiawatha KS 66434-2326 Ph: (785) 742-2131 | 415 W Main St Highland KS 66035-4143 Ph: (785) 442-3213 |
NPI Number | 1700936440 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 11/15/2024 |
Medicare PECOS PAC ID | 9032007364 |
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Medicare Enrollment ID | O20041220001135 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700936440 | NPI | - | NPPES |
100009740A | Medicaid | KS | |
110492 | Other | KS | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |