Holton Family Health Clinic | |
1603 W 4th St Holton KS 66436-1153 | |
(785) 364-3205 | |
(785) 364-3468 |
Full Name | Holton Family Health Clinic |
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Speciality | Clinic/Center |
Location | 1603 W 4th St, Holton, Kansas |
Authorized Official Name and Position | Todd M Willert (CEO) |
Authorized Official Contact | 7858895002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Holton Family Health Clinic 1603 W 4th St Holton KS 66436-1153 Ph: (785) 364-3205 | Holton Family Health Clinic 1603 W 4th St Holton KS 66436-1153 Ph: (785) 364-3205 |
NPI Number | 1720059389 |
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Provider Enumeration Date | 01/31/2006 |
Last Update Date | 06/02/2020 |
Medicare PECOS PAC ID | 8325031529 |
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Medicare Enrollment ID | O20040528000062 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720059389 | NPI | - | NPPES |
100319930A | Medicaid | KS | |
001438 | Other | KS | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | H075001 (Kansas) | Primary |
Crna-professional Common Pay Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 Columbine Dr, Holton, KS 66436 Phone: 785-634-2116 Fax: 785-364-9620 | |
Holton Family Medicine - Johnsonville Plant Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 E 4th St, Holton, KS 66436 Phone: 785-364-2126 Fax: 785-364-2126 | |
Family Practice Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 Columbine Dr Ste 100, Holton, KS 66436 Phone: 785-364-2126 Fax: 785-364-2801 | |
Rainbow Hill Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 W 7th St, Holton, KS 66436 Phone: 785-364-4445 Fax: 785-364-4934 |