| Stewart Family Medicine | |
|
1003 W 4th St Pittsburg KS 66762-4645 | |
| (620) 404-5220 | |
| (913) 815-8049 |
| Full Name | Stewart Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1003 W 4th St, Pittsburg, Kansas |
| Authorized Official Name and Position | Chad Stewart (MANAGER) |
| Authorized Official Contact | 9132315766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart Family Medicine 1003 W 4th St Pittsburg KS 66762-4645 Ph: (620) 404-5220 | Stewart Family Medicine 1003 W 4th St Pittsburg KS 66762-4645 Ph: (620) 404-5220 |
| NPI Number | 1912353988 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 06/30/2016 |
| Medicare PECOS PAC ID | 0941592182 |
|---|---|
| Medicare Enrollment ID | O20160708001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912353988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0437649 (Kansas) | Primary |
| Provider Name | Chad C Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699111088 PECOS PAC ID: 0840431441 Enrollment ID: I20160708001952 |
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