| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 200 E 8th St, Larned, Kansas |
| Authorized Official Name and Position | Mary Ann Blide (OFFICE ASSISTANT) |
| Authorized Official Contact | 6202856424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 129 200 E 8th Street Larned KS 67550-0129 Ph: (620) 285-6424 | 200 E 8th St Larned KS 67550-2602 Ph: (620) 285-6424 |
| NPI Number | 1538128558 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538128558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Trinity Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Eagle Ct, Larned, KS 67550 Phone: 620-285-2675 | |
Life Center Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E 6th St, Larned, KS 67550 Phone: 620-804-2691 | |