| Stanton County Family Practice | |
|
404 N Chestnut St Johnson KS 67855-0639 | |
| (620) 492-1400 | |
| (620) 492-1608 |
| Full Name | Stanton County Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 404 N Chestnut St, Johnson, Kansas |
| Authorized Official Name and Position | Peggy Carrithers (OFFICE MANAGER) |
| Authorized Official Contact | 6204921400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanton County Family Practice Po Box 639 Johnson KS 67855-0639 Ph: (620) 492-1400 | Stanton County Family Practice 404 N Chestnut St Johnson KS 67855-0639 Ph: (620) 492-1400 |
| NPI Number | 1679880363 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 12/28/2015 |
| Medicare PECOS PAC ID | 7315939915 |
|---|---|
| Medicare Enrollment ID | O20120327000945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679880363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Debra Lee Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306133095 PECOS PAC ID: 1951572999 Enrollment ID: I20160803002914 |
Stanton County Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 N Main St, Johnson, KS 67855 Phone: 620-492-1400 Fax: 620-492-1608 | |
William R. Troup M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Greenwood Avenue North, Johnson, KS 67855 Phone: 620-492-6230 Fax: 620-492-2309 | |
Stanton County Family Practice Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 N Chestnut St, Johnson, KS 67855 Phone: 620-492-1400 Fax: 620-492-1608 |