| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 W D Ave, Kingman, Kansas |
| Authorized Official Name and Position | Lacy Drosselmeyer (COMPLIANCE SPECIALIST) |
| Authorized Official Contact | 6205320281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
750 W D Ave Kingman KS 67068-1266 Ph: (620) 532-0295 | 750 W D Ave Kingman KS 67068-1266 Ph: (620) 532-0295 |
| NPI Number | 1508253501 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 11/08/2022 |
| Medicare PECOS PAC ID | 5799683694 |
|---|---|
| Medicare Enrollment ID | O20150505000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508253501 | NPI | - | NPPES |
| 30003916630006 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Kingman Health Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E A Ave, Kingman, KS 67068 Phone: 620-532-5145 Fax: 620-532-2586 | |
Advanced Mobile Healthcare And Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 437 Cedar St, Kingman, KS 67068 Phone: 620-553-5040 Fax: 620-553-5029 | |
Kingman County Family Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 West A Street, Kingman, KS 67068 Phone: 620-532-5800 Fax: 620-532-3361 | |
Kingman Health Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E A Ave, Kingman, KS 67068 Phone: 620-532-5145 Fax: 620-532-2586 |