Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 538 N C Street, Leroy, Kansas |
Authorized Official Name and Position | Merri Michaels (BILLING MANAGER) |
Authorized Official Contact | 6203642121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
309 Sanders St P.o. Box 289 Burlington KS 66839-2616 Ph: (620) 364-5395 | 538 N C Street Leroy KS 66857 Ph: (620) 964-2264 |
NPI Number | 1205918356 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 01/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205918356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Kansas) | Primary |