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1221 W Noble St Lyons KS 67554-3026 | |
(620) 257-5124 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1221 W Noble St, Lyons, Kansas |
Authorized Official Name and Position | Michael W Harms (CFO) |
Authorized Official Contact | 6206692500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1221 W Noble St Lyons KS 67554-3026 Ph: (620) 257-5124 | 1221 W Noble St Lyons KS 67554-3026 Ph: (620) 257-5124 |
NPI Number | 1134194814 |
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Provider Enumeration Date | 02/17/2006 |
Last Update Date | 03/29/2012 |
Identifier | Type | State | Issuer |
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1134194814 | NPI | - | NPPES |
100087920 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Kansas) | Primary |