| Rolla Medical Clinic | |
|
415 Washington Rolla KS 67954 | |
| (620) 697-2175 | |
| Not Available |
| Full Name | Rolla Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 Washington, Rolla, Kansas |
| Authorized Official Name and Position | James L Forrest (CFO) |
| Authorized Official Contact | 6206975252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolla Medical Clinic 445 Hilltop Elkhart KS 67950 Ph: (620) 697-5252 | Rolla Medical Clinic 415 Washington Rolla KS 67954 Ph: (620) 697-2175 |
| NPI Number | 1326416025 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 09/11/2015 |
| Medicare PECOS PAC ID | 5395644637 |
|---|---|
| Medicare Enrollment ID | O20151029002828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326416025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Rolla Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Washington, Rolla, KS 67954 Phone: 620-593-4242 Fax: 620-593-4243 |