Larned Clinic Site | |
522 Broadway St Larned KS 67550-3042 | |
(620) 792-5700 | |
Not Available |
Full Name | Larned Clinic Site |
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Speciality | Clinic/Center |
Location | 522 Broadway St, Larned, Kansas |
Authorized Official Name and Position | Jyl Nokes (COO) |
Authorized Official Contact | 6207925700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Larned Clinic Site 1905 19th St Great Bend KS 67530-2502 Ph: (620) 792-5700 | Larned Clinic Site 522 Broadway St Larned KS 67550-3042 Ph: (620) 792-5700 |
NPI Number | 1992220990 |
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Provider Enumeration Date | 08/10/2017 |
Last Update Date | 11/08/2017 |
Medicare PECOS PAC ID | 4486565181 |
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Medicare Enrollment ID | O20171128002320 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992220990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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