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24 S Main St South Hutchinson KS 67505-1508 | |
(620) 259-6221 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 24 S Main St, South Hutchinson, Kansas |
Authorized Official Name and Position | Michael Heck (CEO) |
Authorized Official Contact | 6206692500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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24 S Main St South Hutchinson KS 67505-1508 Ph: (620) 259-6221 | 24 S Main St South Hutchinson KS 67505-1508 Ph: (620) 259-6221 |
NPI Number | 1841530946 |
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Provider Enumeration Date | 02/26/2013 |
Last Update Date | 09/20/2016 |
Medicare PECOS PAC ID | 5597658492 |
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Medicare Enrollment ID | O20130507000608 |
Identifier | Type | State | Issuer |
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1841530946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |