Full Name | |
---|---|
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 |
---|---|
Po Box 158 Moran KS 66755-0158 Ph: (620) 237-4621 | 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 |