| Midway Clinic | |
|
620 W 8th St Kinsley KS 67547-2329 | |
| (620) 659-3621 | |
| (620) 659-3869 |
| Full Name | Midway Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 620 W 8th St, Kinsley, Kansas |
| Authorized Official Name and Position | Jimmie Hansel (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6206593621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midway Clinic 620 W 8th St Kinsley KS 67547-2329 Ph: (620) 659-3621 | Midway Clinic 620 W 8th St Kinsley KS 67547-2329 Ph: (620) 659-3621 |
| NPI Number | 1649372012 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 08/30/2022 |
| Medicare PECOS PAC ID | 2264343383 |
|---|---|
| Medicare Enrollment ID | O20040305000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649372012 | NPI | - | NPPES |
| 016623 | Other | BLUE CROSS BLUE SHIELD | |
| 100009380A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 173495 (Kansas) | Primary |
| Provider Name | Fredrick J Farmer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174612105 PECOS PAC ID: 0244206688 Enrollment ID: I20040907001024 |
| Provider Name | Gary B Morsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851367809 PECOS PAC ID: 4981595931 Enrollment ID: I20040910001119 |
| Provider Name | Jenifer P Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104809987 PECOS PAC ID: 9931165008 Enrollment ID: I20041209000804 |
| Provider Name | Stephanie J Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659480663 PECOS PAC ID: 1951349521 Enrollment ID: I20050422001135 |
| Provider Name | Timothy Lawton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780686063 PECOS PAC ID: 5193765451 Enrollment ID: I20050506000139 |
| Provider Name | John Bukaty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588634224 PECOS PAC ID: 2668407602 Enrollment ID: I20050930000592 |
| Provider Name | Robert T Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811903560 PECOS PAC ID: 2668574633 Enrollment ID: I20100610001087 |
| Provider Name | Margaret Anna Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861830010 PECOS PAC ID: 3779725049 Enrollment ID: I20130815000814 |
| Provider Name | Michael M Katunzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295101756 PECOS PAC ID: 1456651678 Enrollment ID: I20151119001970 |
| Provider Name | Vincent O Mogoi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386181832 PECOS PAC ID: 5294010070 Enrollment ID: I20170317000112 |
| Provider Name | Jessica Dawn Grigoreva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619486693 PECOS PAC ID: 3072854314 Enrollment ID: I20190415000119 |
| Provider Name | Aaron Christian Branch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336439959 PECOS PAC ID: 4385874874 Enrollment ID: I20191221000542 |
| Provider Name | Naveen Penmasta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447697750 PECOS PAC ID: 7810294337 Enrollment ID: I20200131000696 |
| Provider Name | Casey L Mcneil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053872333 PECOS PAC ID: 5092049973 Enrollment ID: I20210415002417 |
| Provider Name | Richard Aballay |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063577377 PECOS PAC ID: 4082615166 Enrollment ID: I20221019000941 |
| Provider Name | M'kaylee Ann Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265157788 PECOS PAC ID: 6800267709 Enrollment ID: I20230131001670 |
| Provider Name | Timothy Aaron Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801852173 PECOS PAC ID: 0648379305 Enrollment ID: I20230927002996 |
| Provider Name | Clara R Strunk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316569783 PECOS PAC ID: 0749605814 Enrollment ID: I20231115000248 |
Edwards County Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 E 4th St, Kinsley, KS 67547 Phone: 620-659-3621 Fax: 620-659-3869 |