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1001 6th Ave Ste 210 Leavenworth KS 66048-3248 | |
(816) 923-5800 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1001 6th Ave Ste 210, Leavenworth, Kansas |
Authorized Official Name and Position | Essence Mongtomery (CFO) |
Authorized Official Contact | 8165995683 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3801 Dr Martin Luther King Jr Blvd Kansas City MO 64130-2807 Ph: (816) 923-5800 | 1001 6th Ave Ste 210 Leavenworth KS 66048-3248 Ph: (816) 923-5800 |
NPI Number | 1427749936 |
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Provider Enumeration Date | 05/16/2023 |
Last Update Date | 10/29/2024 |
Medicare PECOS PAC ID | 5294644530 |
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Medicare Enrollment ID | O20231017000778 |
Identifier | Type | State | Issuer |
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1427749936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Occupational & Preventive Medicine Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 6th Ave, Medical Arts Building, Leavenworth, KS 66048 Phone: 913-682-7225 Fax: 913-651-2007 | |
Northeast Kansas Gi Consultants Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3601 S 4th St, Suite 5, Leavenworth, KS 66048 Phone: 913-220-5193 Fax: 913-814-9989 | |
Medical Arts Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2600 | |