| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1708 Corning Ave, Parsons, Kansas |
| Authorized Official Name and Position | Billy D Cochran (CEO) |
| Authorized Official Contact | 6207952921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
800 Barker Drive Suite A Oswego KS 67356-9033 Ph: (620) 795-2921 | 1708 Corning Ave Parsons KS 67357 Ph: (620) 333-6080 |
| NPI Number | 1083043012 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 07/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083043012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H050003 (Kansas) | Primary |
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