| Pratt Internal Medicine Group | |
|
420 Country Club Rd Pratt KS 67124-3125 | |
| (620) 672-7415 | |
| Not Available |
| Full Name | Pratt Internal Medicine Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 Country Club Rd, Pratt, Kansas |
| Authorized Official Name and Position | Susan Page (CEO) |
| Authorized Official Contact | 6206727451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pratt Internal Medicine Group 420 Country Club Rd Pratt KS 67124-3125 Ph: (620) 672-7415 | Pratt Internal Medicine Group 420 Country Club Rd Pratt KS 67124-3125 Ph: (620) 672-7415 |
| NPI Number | 1881025393 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 03/26/2015 |
| Medicare PECOS PAC ID | 1355253238 |
|---|---|
| Medicare Enrollment ID | O20140307000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881025393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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