| Outpatient Clinic | |
|
800 W Laurel St Independence KS 67301-3211 | |
| (620) 331-2200 | |
| Not Available |
| Full Name | Outpatient Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 800 W Laurel St, Independence, Kansas |
| Authorized Official Name and Position | Shelly Hunter (CFO) |
| Authorized Official Contact | 4176252459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Clinic 800 W Myrtle St Independence KS 67301-3240 Ph: (620) 331-2200 | Outpatient Clinic 800 W Laurel St Independence KS 67301-3211 Ph: (620) 331-2200 |
| NPI Number | 1912014929 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 02/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912014929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | H-063-004 (Kansas) | Primary |
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