Jewell County Rural Health Clinic | |
100 Crestvue Ave Mankato KS 66956-2407 | |
(785) 378-3137 | |
(785) 378-3450 |
Full Name | Jewell County Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 100 Crestvue Ave, Mankato, Kansas |
Authorized Official Name and Position | Barry Bottger (CFO) |
Authorized Official Contact | 7853783137 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jewell County Rural Health Clinic 100 Crestvue Ave Mankato KS 66956-2407 Ph: (785) 378-3137 | Jewell County Rural Health Clinic 100 Crestvue Ave Mankato KS 66956-2407 Ph: (785) 378-3137 |
NPI Number | 1386689586 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 06/26/2024 |
Medicare PECOS PAC ID | 7911818273 |
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Medicare Enrollment ID | O20030904000028 |
Identifier | Type | State | Issuer |
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1386689586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | H045001 (Kansas) | Primary |
Jewell County Hospital Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Crestvue Ave, Mankato, KS 66956 Phone: 785-378-3137 |