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313 E Franklin St Lincoln KS 67455-1751 | |
(785) 524-4403 | |
(785) 524-5296 |
Full Name | |
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Speciality | Clinic/Center |
Location | 313 E Franklin St, Lincoln, Kansas |
Authorized Official Name and Position | Steven L Granzow (ADMINISTRATOR) |
Authorized Official Contact | 7855244403 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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313 E Franklin St Lincoln KS 67455-1751 Ph: (785) 524-4403 | 313 E Franklin St Lincoln KS 67455-1751 Ph: (785) 524-4403 |
NPI Number | 1841248952 |
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Provider Enumeration Date | 05/04/2006 |
Last Update Date | 11/11/2014 |
Medicare PECOS PAC ID | 0941118061 |
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Medicare Enrollment ID | O20021226000004 |
Identifier | Type | State | Issuer |
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1841248952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 173405 (Kansas) | Primary |