Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 324 S Main St, Erie, Kansas |
Authorized Official Name and Position | Thomas L Macaronas (CFO) |
Authorized Official Contact | 6208205251 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1902 S Hwy 59 Bldg E Parsons KS 67357 Ph: (620) 820-5889 | 324 S Main St Erie KS 66733-1439 Ph: (620) 244-3291 |
NPI Number | 1194723890 |
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Provider Enumeration Date | 07/07/2005 |
Last Update Date | 05/24/2017 |
Medicare PECOS PAC ID | 5496664369 |
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Medicare Enrollment ID | O20170811002522 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194723890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Erie-galesburg Usd 101 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Main St, Erie, KS 66733 Phone: 620-244-3264 | |