| South Central Bone & Joint Center | |
|
203 Watson St Suite 300 Pratt KS 67124-3068 | |
| (620) 672-1002 | |
| (620) 672-7268 |
| Full Name | South Central Bone & Joint Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 Watson St, Pratt, Kansas |
| Authorized Official Name and Position | Susan M Page (PRESIDENT AND CEO) |
| Authorized Official Contact | 6206727451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Bone & Joint Center 203 Watson St Suite 300 Pratt KS 67124-3092 Ph: (620) 672-1002 | South Central Bone & Joint Center 203 Watson St Suite 300 Pratt KS 67124-3068 Ph: (620) 672-1002 |
| NPI Number | 1821022385 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 04/03/2015 |
| Medicare PECOS PAC ID | 1355253238 |
|---|---|
| Medicare Enrollment ID | O20031204001104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821022385 | NPI | - | NPPES |
| 100317950B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ian S Kovach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447343272 PECOS PAC ID: 2860397528 Enrollment ID: I20031204001156 |
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Pratt Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Watson St, Suite 200, Pratt, KS 67124 Phone: 620-672-7422 Fax: 620-450-1601 | |
Pratt Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Watson St, Suite 200, Pratt, KS 67124 Phone: 620-672-7422 Fax: 620-508-6476 | |
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