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1535 South Range Ave. Colby KS 67701-0806 | |
(785) 460-8000 | |
(785) 460-8001 |
Full Name | |
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Speciality | Family Medicine |
Location | 1535 South Range Ave., Colby, Kansas |
Authorized Official Name and Position | Gary D Slavens (OWNER) |
Authorized Official Contact | 7854608000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 806 1535 South Range Ave. Colby KS 67701-0806 Ph: (785) 460-8000 | 1535 South Range Ave. Colby KS 67701-0806 Ph: (785) 460-8000 |
NPI Number | 1992773337 |
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Provider Enumeration Date | 03/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992773337 | NPI | - | NPPES |
0000111146 | Other | KS | BC BS |
DD1071 | Other | KS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
County Of Thomas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 S Range Ave Ste 2, Colby, KS 67701 Phone: 785-460-4596 Fax: 785-460-4595 | |