| Jefferson Medical Urgent Care | |
|
408 Delaware St Winchester KS 66097-4003 | |
| (913) 774-4340 | |
| (913) 774-3379 |
| Full Name | Jefferson Medical Urgent Care |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 408 Delaware St, Winchester, Kansas |
| Authorized Official Name and Position | Lamont Cook (CEO) |
| Authorized Official Contact | 9137744340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Medical Urgent Care 408 Delaware St Winchester KS 66097-4003 Ph: (913) 774-4340 | Jefferson Medical Urgent Care 408 Delaware St Winchester KS 66097-4003 Ph: (913) 774-4340 |
| NPI Number | 1700245057 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700245057 | NPI | - | NPPES |
| 100080370F | Medicaid | KS | |
| 110046 | Other | KS | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | H044001 (Kansas) | Primary |
Winchester Medical Clinic An Operating Division Of Sfhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Winchester St, Winchester, KS 66097 Phone: 913-774-2150 Fax: 913-774-2308 | |
Jefferson Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Delaware St, Winchester, KS 66097 Phone: 913-774-4340 Fax: 913-774-3379 |