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400 S Jefferson St Hillsboro KS 67063-1753 | |
(972) 367-4845 | |
Not Available |
Full Name | |
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Speciality | Family Medicine - Sports Medicine |
Location | 400 S Jefferson St, Hillsboro, Kansas |
Authorized Official Name and Position | Mouzon Bass (AGENT) |
Authorized Official Contact | 9723674845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5050 Spring Valley Rd. Dallas TX 75244-3909 Ph: () - | 400 S Jefferson St Hillsboro KS 67063-1753 Ph: (972) 367-4845 |
NPI Number | 1811437890 |
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Provider Enumeration Date | 02/24/2017 |
Last Update Date | 02/24/2017 |
Identifier | Type | State | Issuer |
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1811437890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QS0010X | Family Medicine - Sports Medicine | 04-34857 (Kansas) | Primary |
Marion County Community Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 N Washington St, Hillsboro, KS 67063 Phone: 620-266-6312 Fax: 620-947-3819 | |