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302 Fleming St Garden City KS 67846-5972 | |
(620) 271-1424 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 302 Fleming St, Garden City, Kansas |
Authorized Official Name and Position | Carmine Dipalo (CEO) |
Authorized Official Contact | 9132838223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4121 W 83rd St Suite 151 Prairie Village KS 66208-5472 Ph: (913) 283-8223 | 302 Fleming St Garden City KS 67846-5972 Ph: (620) 271-1424 |
NPI Number | 1386025914 |
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Provider Enumeration Date | 06/09/2015 |
Last Update Date | 02/09/2017 |
Identifier | Type | State | Issuer |
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1386025914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 7918758 (Kansas) | Primary |
Plaza Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 N Main St, Garden City, KS 67846 Phone: 620-276-8201 Fax: 620-275-0712 |