St Joseph Family Medicine-larned | |
713 W 11th St Larned KS 67550-2055 | |
(620) 285-6958 | |
(620) 285-2173 |
Full Name | St Joseph Family Medicine-larned |
---|---|
Speciality | Family Medicine |
Location | 713 W 11th St, Larned, Kansas |
Authorized Official Name and Position | Sharon L. Lind (CEO) |
Authorized Official Contact | 6207866101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St Joseph Family Medicine-larned Po Box 970 Great Bend KS 67530-0970 Ph: (620) 786-6475 | St Joseph Family Medicine-larned 713 W 11th St Larned KS 67550-2055 Ph: (620) 285-6958 |
NPI Number | 1326098914 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 06/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326098914 | NPI | - | NPPES |
100112110D | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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St. Joseph Family Medicine - Larned Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 W 11th St, Larned, KS 67550 Phone: 620-285-6958 Fax: 620-285-2173 |