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921 E Highway 36 Smith Center KS 66967 | |
(785) 282-6834 | |
(785) 282-3793 |
Full Name | |
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Speciality | Clinic/Center |
Location | 921 E Highway 36, Smith Center, Kansas |
Authorized Official Name and Position | Sarah Ragsdale (CEO) |
Authorized Official Contact | 7852826845 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 349 Smith Center KS 66967-0349 Ph: (785) 282-6834 | 921 E Highway 36 Smith Center KS 66967 Ph: (785) 282-6834 |
NPI Number | 1396773180 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 01/11/2024 |
Medicare PECOS PAC ID | 2860300530 |
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Medicare Enrollment ID | O20030131000000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396773180 | NPI | - | NPPES |
001535 | Other | KS | BLUE CROSS |
001535 | Other | KS | BLUE CROSS/BLUE SHIELD |
100409890 B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |