Olathe Health Family Medicine-mound City | |
302 N 1st St Mound City KS 66056-5279 | |
(913) 795-2203 | |
(913) 795-2701 |
Full Name | Olathe Health Family Medicine-mound City |
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Speciality | Clinic/center - Rural Health |
Location | 302 N 1st St, Mound City, Kansas |
Authorized Official Name and Position | Catherine R. Wiens (VP/QUALITY & COMPLIANCE) |
Authorized Official Contact | 9137914459 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Olathe Health Family Medicine-mound City 2100 Baptiste Dr Paola KS 66071-1314 Ph: (913) 294-2327 | Olathe Health Family Medicine-mound City 302 N 1st St Mound City KS 66056-5279 Ph: (913) 795-2203 |
NPI Number | 1518463793 |
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Provider Enumeration Date | 04/05/2018 |
Last Update Date | 04/05/2018 |
Identifier | Type | State | Issuer |
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1518463793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Olathe Health Family Medicine-mound City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N 1st St, Mound City, KS 66056 Phone: 913-795-2203 Fax: 913-795-2701 | |
Community Health Center Of Southeast Kansas, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 N 1st St, Mound City, KS 66056 Phone: 913-795-8302 Fax: 913-795-8002 |