Main Street Clinic | |
450 Morton Street Elkhart KS 67950 | |
(806) 236-6840 | |
Not Available |
Full Name | Main Street Clinic |
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Speciality | Clinic/center - Multi-specialty |
Location | 450 Morton Street, Elkhart, Kansas |
Authorized Official Name and Position | Steven Brillhart (OWNER) |
Authorized Official Contact | 8063820941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Clinic Hc 2 Box 6b 116 Glen Road Keyes OK 73947 Ph: (806) 236-6840 | Main Street Clinic 450 Morton Street Elkhart KS 67950 Ph: (806) 236-6840 |
NPI Number | 1841007739 |
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Provider Enumeration Date | 12/13/2024 |
Last Update Date | 12/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841007739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Dominador T. Perido Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Sunset, Elkhart, KS 67950 Phone: 620-697-2155 Fax: 620-697-4275 | |
Satanta District Hospital And Long-term Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Morton St, Elkhart, KS 67950 Phone: 620-649-2761 Fax: 620-649-2761 | |