| Konza Prairie Community Health Center, Inc. | |
|
361 Grant Ave Junction City KS 66441-4201 | |
| (785) 238-4711 | |
| (785) 238-4260 |
| Full Name | Konza Prairie Community Health Center, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/03/2005 |
| Last Update Date | 01/06/2023 |
| Medicare PECOS PAC ID | 3779483466 |
|---|---|
| Medicare Enrollment ID | O20040109000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447247663 | NPI | - | NPPES |
| 100212260C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Kofi Amoako Ababio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669449815 PECOS PAC ID: 5991791774 Enrollment ID: I20040426000714 |
| Provider Name | Cayle L Goertzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346270733 PECOS PAC ID: 0143234088 Enrollment ID: I20060131000535 |
| Provider Name | Todd Alan Frieze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265524326 PECOS PAC ID: 3476687393 Enrollment ID: I20100813000981 |
| Provider Name | Jennifer P Ebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669619516 PECOS PAC ID: 7416006952 Enrollment ID: I20130311000283 |
| Provider Name | Stephanie Kimbrel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760825988 PECOS PAC ID: 0042592651 Enrollment ID: I20170210000284 |
| Provider Name | Dustie Angela Samuels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386026953 PECOS PAC ID: 7810201902 Enrollment ID: I20170420001630 |
| Provider Name | Kelley A Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811438021 PECOS PAC ID: 3577840644 Enrollment ID: I20170428000312 |
| Provider Name | Melody A Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376010793 PECOS PAC ID: 4385989441 Enrollment ID: I20181218000594 |
| Provider Name | Chandler N. Whaley |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1336529627 PECOS PAC ID: 5395177349 Enrollment ID: I20200304001367 |
| Provider Name | Angela Christine Kingsbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427662865 PECOS PAC ID: 7517387798 Enrollment ID: I20201009001693 |
| Provider Name | Carol Grigsby Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346323227 PECOS PAC ID: 7315230331 Enrollment ID: I20210929000409 |
| Provider Name | Alya Marie Houghton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164914370 PECOS PAC ID: 0244571834 Enrollment ID: I20230327001057 |
| Provider Name | Michaela Marie Wik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932726536 PECOS PAC ID: 0143695163 Enrollment ID: I20230427002269 |
| Provider Name | Anna-marie Lauppe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790468767 PECOS PAC ID: 7416301783 Enrollment ID: I20231212003406 |
| Provider Name | Amanda Folsom |
|---|---|
| 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 | |
Xpress Wellness Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 527 W 6th St, Junction City, KS 66441 Phone: 785-530-5823 | |
Konza Prairie School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 N Eisenhower Dr, Junction City, KS 66441 Phone: 785-238-4711 | |
Ronald D. Mace, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Saint Marys Rd, Junction City, KS 66441 Phone: 785-762-4884 Fax: 785-762-3197 | |
Gch Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Saint Marys Rd, Suite 307, Junction City, KS 66441 Phone: 785-762-4255 Fax: 785-762-2859 | |
Medical Arts Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Saint Marys Rd, Suite 307, Junction City, KS 66441 Phone: 785-762-6040 Fax: 785-762-7181 |