| Caldwell Family Clinic | |
|
761 W 175th St S Caldwell KS 67022-8301 | |
| (620) 845-6492 | |
| (620) 845-2518 |
| Full Name | Caldwell Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 761 W 175th St S, Caldwell, Kansas |
| Authorized Official Name and Position | Brooke Bollman (CEO) |
| Authorized Official Contact | 6208456492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldwell Family Clinic 761 W 175th St S Caldwell KS 67022-8301 Ph: (620) 845-6492 | Caldwell Family Clinic 761 W 175th St S Caldwell KS 67022-8301 Ph: (620) 845-6492 |
| NPI Number | 1881327153 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 01/27/2023 |
| Medicare PECOS PAC ID | 6103925268 |
|---|---|
| Medicare Enrollment ID | O20221004003580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881327153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Integris Caldwell Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 S Osage St, Caldwell, KS 67022 Phone: 620-845-2516 |