Full Name | |
---|---|
Speciality | Family Medicine |
Location | 713 W 11th St, Larned, Kansas |
Authorized Official Name and Position | Jay Moore (EXECTUTIVE DIRECTOR PPA) |
Authorized Official Contact | 7856232185 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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 | 1881902633 |
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Provider Enumeration Date | 09/15/2010 |
Last Update Date | 09/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881902633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Kansas) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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 | |