St Luke Medical Clinic | |
537 S Freeborn St Marion KS 66861-1243 | |
(620) 382-2177 | |
(620) 382-9104 |
Full Name | St Luke Medical Clinic |
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Speciality | Clinic/Center |
Location | 537 S Freeborn St, Marion, Kansas |
Authorized Official Name and Position | Alex Haines (CEO) |
Authorized Official Contact | 6203822177 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St Luke Medical Clinic 535 S Freeborn St Marion KS 66861-1256 Ph: (620) 382-2177 | St Luke Medical Clinic 537 S Freeborn St Marion KS 66861-1243 Ph: (620) 382-2177 |
NPI Number | 1265617526 |
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Provider Enumeration Date | 01/07/2008 |
Last Update Date | 01/18/2024 |
Medicare PECOS PAC ID | 7517923196 |
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Medicare Enrollment ID | O20080502000438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265617526 | NPI | - | NPPES |
00225 | Other | KS | BLUE CROSS |
17-1356 | Other | KS | MEDICARE |
111145 | Other | KS | MEDICARE PROFESSIONAL |
20029870C | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | H057003 (Kansas) | Primary |
Marion Family Physicians Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 537 S Freeborn St, Marion, KS 66861 Phone: 620-382-3722 Fax: 620-382-3851 | |
Marion County Rural Health Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 537 S Freeborn St, Marion, KS 66861 Phone: 620-382-3722 Fax: 620-382-3851 |