Sckc Primary Care | |
510 W Radio Ln Arkansas City KS 67005-4011 | |
(620) 442-6041 | |
(620) 442-2100 |
Full Name | Sckc Primary Care |
---|---|
Speciality | Clinic/Center |
Location | 510 W Radio Ln, Arkansas City, Kansas |
Authorized Official Name and Position | Shanon Ashley (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3165001303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sckc Primary Care 510 W Radio Ln Arkansas City KS 67005-4011 Ph: (620) 442-6041 | Sckc Primary Care 510 W Radio Ln Arkansas City KS 67005-4011 Ph: (620) 442-6041 |
NPI Number | 1659915734 |
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Provider Enumeration Date | 11/01/2019 |
Last Update Date | 01/04/2024 |
Medicare PECOS PAC ID | 1456245802 |
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Medicare Enrollment ID | O20201119001588 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659915734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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