Montezuma Rural Health Clinic | |
304 N Aztec St Montezuma KS 67867-8874 | |
(620) 846-2251 | |
(620) 873-5371 |
Full Name | Montezuma Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 304 N Aztec St, Montezuma, Kansas |
Authorized Official Name and Position | Samantha Jo Benear (CLINIC MANAGER) |
Authorized Official Contact | 6208737624 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Montezuma Rural Health Clinic Po Box 820 Meade KS 67864-0820 Ph: (620) 873-2112 | Montezuma Rural Health Clinic 304 N Aztec St Montezuma KS 67867-8874 Ph: (620) 846-2251 |
NPI Number | 1720609738 |
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Provider Enumeration Date | 04/30/2020 |
Last Update Date | 04/15/2021 |
Medicare PECOS PAC ID | 4284609462 |
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Medicare Enrollment ID | O20200608000500 |
Identifier | Type | State | Issuer |
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1720609738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |