| Mch Professional Services | |
|
604 N Washington St Council Grove KS 66846-1422 | |
| (620) 767-5126 | |
| (620) 767-6910 |
| Full Name | Mch Professional Services |
|---|---|
| Speciality | Family Medicine |
| Location | 604 N Washington St, Council Grove, Kansas |
| Authorized Official Name and Position | Ronald C Christenson (CFO) |
| Authorized Official Contact | 6207676811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mch Professional Services 600 N Washington St Council Grove KS 66846-1499 Ph: (620) 767-6844 | Mch Professional Services 604 N Washington St Council Grove KS 66846-1422 Ph: (620) 767-5126 |
| NPI Number | 1295217305 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 09/05/2018 |
| Medicare PECOS PAC ID | 8426096504 |
|---|---|
| Medicare Enrollment ID | O20181121000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295217305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven R Short |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861451833 PECOS PAC ID: 2264423847 Enrollment ID: I20040521000656 |
| Provider Name | Melanie S Byram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457355216 PECOS PAC ID: 0345200283 Enrollment ID: I20041014000568 |
| Provider Name | Joel E Hornung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710947031 PECOS PAC ID: 2961449087 Enrollment ID: I20050411000904 |
| Provider Name | Daniel R Frese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134188006 PECOS PAC ID: 1557308616 Enrollment ID: I20050411001227 |
| Provider Name | Lora A Siegle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407815376 PECOS PAC ID: 2163469735 Enrollment ID: I20050414000862 |
| Provider Name | Tamara L Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740397173 PECOS PAC ID: 2668401126 Enrollment ID: I20050805000249 |
| Provider Name | Katherine M Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982977245 PECOS PAC ID: 9436311727 Enrollment ID: I20120502000719 |
| Provider Name | Heather J Bastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285937938 PECOS PAC ID: 3678762481 Enrollment ID: I20140820000428 |
| Provider Name | Rachel M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609257708 PECOS PAC ID: 0244542884 Enrollment ID: I20150709002679 |
| Provider Name | Michael M Katunzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295101756 PECOS PAC ID: 1456651678 Enrollment ID: I20151119001970 |
| Provider Name | Daniel J Samani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689668238 PECOS PAC ID: 8729029038 Enrollment ID: I20160808002368 |
| Provider Name | Carey J Wettstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437501418 PECOS PAC ID: 2365734100 Enrollment ID: I20170221000365 |
| Provider Name | Vincent O Mogoi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386181832 PECOS PAC ID: 5294010070 Enrollment ID: I20170317000112 |
| Provider Name | Brett A Siegle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689055667 PECOS PAC ID: 0941513071 Enrollment ID: I20181121002641 |
| Provider Name | Lisa Charlene Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578027959 PECOS PAC ID: 1153662275 Enrollment ID: I20190417002214 |
| Provider Name | Haley M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336772797 PECOS PAC ID: 1456788470 Enrollment ID: I20200303001263 |
| Provider Name | Michael G Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053872358 PECOS PAC ID: 5597099648 Enrollment ID: I20201229003120 |
| Provider Name | Dana Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285224907 PECOS PAC ID: 4981010972 Enrollment ID: I20210317002264 |
| Provider Name | Sydnee Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356802003 PECOS PAC ID: 8820323280 Enrollment ID: I20220907002544 |
| Provider Name | John E Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174142640 PECOS PAC ID: 6608295837 Enrollment ID: I20230831004062 |
Mch Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 N Washington St, Council Grove, KS 66846 Phone: 620-767-5126 Fax: 620-767-6910 | |
Family Health Center Of Morris County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 N Washington St, Council Grove, KS 66846 Phone: 620-767-5126 Fax: 620-767-6910 |