| Shawnee County (medicaid Part C) | |
|
2600 Sw East Circle Dr S Shawnee County (medicaid Part C) Topeka KS 66606-2447 | |
| (785) 251-5600 | |
| (785) 251-5696 |
| Full Name | Shawnee County (medicaid Part C) |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 2600 Sw East Circle Dr S, Topeka, Kansas |
| Authorized Official Name and Position | Edith J Gaines (FINANCE OFFICER) |
| Authorized Official Contact | 7852515666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee County (medicaid Part C) 2600 Sw East Circle Dr S Shawnee County (medicaid Part C) Topeka KS 66606-2447 Ph: (785) 251-5600 | Shawnee County (medicaid Part C) 2600 Sw East Circle Dr S Shawnee County (medicaid Part C) Topeka KS 66606-2447 Ph: (785) 251-5600 |
| NPI Number | 1528074499 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528074499 | NPI | - | NPPES |
| 100089380A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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