| Family Physicians Pa | |
|
304 N Cedar Moran KS 66755 | |
| (620) 237-4621 | |
| (620) 237-4402 |
| Full Name | Family Physicians Pa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 304 N Cedar, Moran, Kansas |
| Authorized Official Name and Position | Brian D Wolfe (SEC TREAS) |
| Authorized Official Contact | 6202374621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physicians Pa Po Box 158 Moran KS 66755-0158 Ph: (620) 237-4621 | Family Physicians Pa 304 N Cedar Moran KS 66755 Ph: (620) 237-4621 |
| NPI Number | 1407880776 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407880776 | NPI | - | NPPES |
| 178970 | Other | KS | RHC-RIVERBEND |
| 1551 | Other | KS | BLUE CROSS RHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Kansas) | Primary |
Saint Luke's Hospital Of Allen County, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 N Cedar St, Moran, KS 66755 Phone: 620-237-4205 |