Partners In Family Care Llc | |
200 E Pack Moundridge KS 67107-0640 | |
(620) 345-6322 | |
(620) 345-3038 |
Full Name | Partners In Family Care Llc |
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Speciality | Family Medicine |
Location | 200 E Pack, Moundridge, Kansas |
Authorized Official Name and Position | Paul D Ullom-minnich (M.D.) |
Authorized Official Contact | 6203456322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Partners In Family Care Llc 200 East Pack Moundridge KS 67107-0640 Ph: (620) 345-6322 | Partners In Family Care Llc 200 E Pack Moundridge KS 67107-0640 Ph: (620) 345-6322 |
NPI Number | 1417923780 |
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Provider Enumeration Date | 02/27/2006 |
Last Update Date | 05/22/2023 |
Medicare PECOS PAC ID | 2961493242 |
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Medicare Enrollment ID | O20040524001335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417923780 | NPI | - | NPPES |
460679 | Medicaid | KS | |
100273280A | Medicaid | KS | |
110273 | Other | KS | BS GROUP ID NUMBER |
460682 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kathryn R Hayes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205831146 PECOS PAC ID: 6406897230 Enrollment ID: I20050520001043 |
Provider Name | Paul D Ullom-minnich |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326043241 PECOS PAC ID: 2163460775 Enrollment ID: I20050520001053 |
Provider Name | James D Ratzlaff |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235134156 PECOS PAC ID: 7911943352 Enrollment ID: I20050707000245 |
Provider Name | Marla R Ullom Minnich |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073518999 PECOS PAC ID: 1850335118 Enrollment ID: I20091125000256 |
Provider Name | Annie K Fast |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760649693 PECOS PAC ID: 7517137441 Enrollment ID: I20110831000506 |
Provider Name | Gerhard A Fast |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295992121 PECOS PAC ID: 2062682990 Enrollment ID: I20110831000511 |
Provider Name | Olivia K Gehring |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013539592 PECOS PAC ID: 3072938232 Enrollment ID: I20230811000769 |