Sjc Caney Rural Health Clinic | |
218 W 4th Ave Caney KS 67333-1462 | |
(620) 879-2182 | |
(620) 879-2246 |
Full Name | Sjc Caney Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 218 W 4th Ave, Caney, Kansas |
Authorized Official Name and Position | Gayle Burden (ADMINISTRATOR) |
Authorized Official Contact | 9183311090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sjc Caney Rural Health Clinic 218 W 4th Ave Caney KS 67333-1462 Ph: (620) 879-2182 | Sjc Caney Rural Health Clinic 218 W 4th Ave Caney KS 67333-1462 Ph: (620) 879-2182 |
NPI Number | 1912961418 |
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Provider Enumeration Date | 04/13/2006 |
Last Update Date | 08/05/2016 |
Medicare PECOS PAC ID | 2567366495 |
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Medicare Enrollment ID | O20150608002951 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912961418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 1501670 (Kansas) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |