Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 713 W 11th St, Larned, Kansas |
Authorized Official Name and Position | Edward Herrman (PRESIDENT & CEO) |
Authorized Official Contact | 7856235523 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
713 W 11th St Larned KS 67550-2055 Ph: () - | 713 W 11th St Larned KS 67550-2055 Ph: (620) 804-6007 |
NPI Number | 1518394147 |
---|---|
Provider Enumeration Date | 09/27/2013 |
Last Update Date | 04/06/2023 |
Medicare PECOS PAC ID | 7315856473 |
---|---|
Medicare Enrollment ID | O20140610000482 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518394147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Trinity Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Eagle Ct, Larned, KS 67550 Phone: 620-285-2675 | |
Life Center Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E 6th St, Larned, KS 67550 Phone: 620-804-2691 | |