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713 W 11th St Larned KS 67550-2055 | |
(620) 804-6007 | |
(620) 285-6195 |
Full Name | |
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Speciality | General Practice |
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 |
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713 W 11th St Larned KS 67550-2055 Ph: (620) 804-6007 | 713 W 11th St Larned KS 67550-2055 Ph: (620) 804-6007 |
NPI Number | 1912310822 |
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Provider Enumeration Date | 06/09/2014 |
Last Update Date | 12/11/2023 |
Medicare PECOS PAC ID | 7315856473 |
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Medicare Enrollment ID | O20140624000216 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912310822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Arlo J Reimer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487625596 PECOS PAC ID: 5294761573 Enrollment ID: I20050711000133 |
Provider Name | Susan Aistrup |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487035549 PECOS PAC ID: 5799099784 Enrollment ID: I20150804006127 |
Provider Name | Heather Brooke Holaday |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023642329 PECOS PAC ID: 8729403357 Enrollment ID: I20200730000285 |
Provider Name | Angela Crystal Beck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699368852 PECOS PAC ID: 5395151732 Enrollment ID: I20210309001849 |
Provider Name | Marley M Palmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518695261 PECOS PAC ID: 1557723152 Enrollment ID: I20230814003643 |
Provider Name | Kathryn Buchanan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548035843 PECOS PAC ID: 5799134508 Enrollment ID: I20231205002956 |
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 | |