Full Name | |
---|---|
Speciality | Clinic/center |
Location | 619 E 4th St, Holton, Kansas |
Authorized Official Name and Position | Bart Kenton (CFO) |
Authorized Official Contact | 7853649636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1110 Columbine Dr Holton KS 66436-8824 Ph: (785) 364-2116 | 619 E 4th St Holton KS 66436-2101 Ph: (785) 364-2126 |
NPI Number | 1235709023 |
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Provider Enumeration Date | 06/25/2021 |
Last Update Date | 07/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235709023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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 | |