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111 W Main Conway Springs KS 67031 | |
(620) 456-2411 | |
(620) 896-7121 |
Full Name | |
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Speciality | Family Medicine |
Location | 111 W Main, Conway Springs, Kansas |
Authorized Official Name and Position | Ralph E Bellar (OWNER PROVIDER) |
Authorized Official Contact | 6208967313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 97 Harper KS 67058 Ph: (620) 896-7313 | 111 W Main Conway Springs KS 67031 Ph: (620) 456-2411 |
NPI Number | 1487712170 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 08/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487712170 | NPI | - | NPPES |
100244820A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |