Konza Prairie Community Health Center, Inc. | |
361 Grant Ave Junction City KS 66441-4201 | |
(785) 238-4711 | |
(785) 530-6150 |
Full Name | Konza Prairie Community Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 361 Grant Ave, Junction City, Kansas |
Authorized Official Name and Position | Danielle Hallgren (CEO) |
Authorized Official Contact | 7852384711 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Konza Prairie Community Health Center, Inc. 361 Grant Ave Junction City KS 66441-4201 Ph: (785) 238-4711 | Konza Prairie Community Health Center, Inc. 361 Grant Ave Junction City KS 66441-4201 Ph: (785) 238-4711 |
NPI Number | 1447247663 |
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Provider Enumeration Date | 10/03/2005 |
Last Update Date | 01/30/2025 |
Medicare PECOS PAC ID | 3779483466 |
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Medicare Enrollment ID | O20040109000751 |
Identifier | Type | State | Issuer |
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1447247663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Kofi Amoako Ababio |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669449815 PECOS PAC ID: 5991791774 Enrollment ID: I20040426000714 |
Provider Name | Daniel M Winter |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1639271661 PECOS PAC ID: 7214071042 Enrollment ID: I20100217000721 |
Provider Name | Todd Alan Frieze |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265524326 PECOS PAC ID: 3476687393 Enrollment ID: I20100813000981 |
Provider Name | Jennifer P Ebert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669619516 PECOS PAC ID: 7416006952 Enrollment ID: I20130311000283 |
Provider Name | Stephanie Kimbrel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760825988 PECOS PAC ID: 0042592651 Enrollment ID: I20170210000284 |
Provider Name | Dustie Angela Samuels |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386026953 PECOS PAC ID: 7810201902 Enrollment ID: I20170420001630 |
Provider Name | Kelley A Herron |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811438021 PECOS PAC ID: 3577840644 Enrollment ID: I20170428000312 |
Provider Name | Tracy Lb Sabo |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1588150759 PECOS PAC ID: 5092063289 Enrollment ID: I20180803001717 |
Provider Name | Melody A Morse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376010793 PECOS PAC ID: 4385989441 Enrollment ID: I20181218000594 |
Provider Name | Carol Grigsby Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346323227 PECOS PAC ID: 7315230331 Enrollment ID: I20210929000409 |
Provider Name | Alya Marie Houghton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164914370 PECOS PAC ID: 0244571834 Enrollment ID: I20230327001057 |
Provider Name | Michaela Marie Wik |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932726536 PECOS PAC ID: 0143695163 Enrollment ID: I20230427002269 |
Provider Name | Nicole Gonzalez |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1275037830 PECOS PAC ID: 5496108516 Enrollment ID: I20240125000749 |
Provider Name | Amanda Folsom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851916837 PECOS PAC ID: 1254728629 Enrollment ID: I20240507004088 |
Victory Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 Southwind Dr, Junction City, KS 66441 Phone: 785-209-3779 Fax: 785-209-3780 | |