| Sylvan Medical Clinic | |
|
219 N Main Sylvan Grove KS 67481 | |
| (785) 526-7474 | |
| Not Available |
| Full Name | Sylvan Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 219 N Main, Sylvan Grove, Kansas |
| Authorized Official Name and Position | Tawnya M Seitz (CFO) |
| Authorized Official Contact | 7855244403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvan Medical Clinic Po Box 406 Lincoln KS 67455 Ph: (785) 524-4403 | Sylvan Medical Clinic 219 N Main Sylvan Grove KS 67481 Ph: (785) 526-7474 |
| NPI Number | 1144278268 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 10/01/2010 |
| Medicare PECOS PAC ID | 0941118061 |
|---|---|
| Medicare Enrollment ID | O20021226000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144278268 | NPI | - | NPPES |
| 100099140C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 173408 (Kansas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |