| Usd 102 Cimarron-ensign | |
|
314 North 1st Street Cimarron KS 67835 | |
| (620) 855-7743 | |
| (620) 855-7745 |
| Full Name | Usd 102 Cimarron-ensign |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 314 North 1st Street, Cimarron, Kansas |
| Authorized Official Name and Position | Danis Sprague (SPECIAL ED. DIRECTOR) |
| Authorized Official Contact | 8006576023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Usd 102 Cimarron-ensign Po Box 489 Cimarron KS 67835-0489 Ph: (620) 855-7743 | Usd 102 Cimarron-ensign 314 North 1st Street Cimarron KS 67835 Ph: (620) 855-7743 |
| NPI Number | 1225363120 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225363120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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