Rawlins Clinic/atwood | |
707 Grant St Atwood KS 67730-1526 | |
(785) 626-3241 | |
(785) 626-3188 |
Full Name | Rawlins Clinic/atwood |
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Speciality | Clinic/Center |
Location | 707 Grant St, Atwood, Kansas |
Authorized Official Name and Position | Mary C Howland (CLINIC BILLING CLERK) |
Authorized Official Contact | 7856263211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rawlins Clinic/atwood 707 Grant St Po Box 47 Atwood KS 67730-1526 Ph: (785) 626-3241 | Rawlins Clinic/atwood 707 Grant St Atwood KS 67730-1526 Ph: (785) 626-3241 |
NPI Number | 1144267881 |
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Provider Enumeration Date | 06/01/2006 |
Last Update Date | 04/16/2014 |
Medicare PECOS PAC ID | 4688585151 |
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Medicare Enrollment ID | O20030918000035 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144267881 | NPI | - | NPPES |
001457 | Other | KS | PLAN 65 |
110194 | Other | KS | BLUE SHIELD PROVIDER # |
100099550C | Medicaid | KS | |
DD4373 | Other | PGBA RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Kansas) | Primary |
Rawlins County Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 Grant St, Atwood, KS 67730 Phone: 785-626-3241 Fax: 785-626-3188 |