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104 E 4th St Sharon Springs KS 67758-9999 | |
(785) 852-4230 | |
(785) 852-4364 |
Full Name | |
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Speciality | Clinic/Center |
Location | 104 E 4th St, Sharon Springs, Kansas |
Authorized Official Name and Position | Sharon Rohr (CLINIC MANAGER) |
Authorized Official Contact | 6203764251 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 310 Sharon Springs KS 67758-0310 Ph: (785) 852-4230 | 104 E 4th St Sharon Springs KS 67758-9999 Ph: (785) 852-4230 |
NPI Number | 1316010317 |
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Provider Enumeration Date | 11/16/2006 |
Last Update Date | 09/11/2013 |
Medicare PECOS PAC ID | 0042233496 |
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Medicare Enrollment ID | O20060208000546 |
Identifier | Type | State | Issuer |
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1316010317 | NPI | - | NPPES |
200383210 B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kathryn J Bangerter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841302296 PECOS PAC ID: 0244226587 Enrollment ID: I20040422000807 |
Provider Name | Wendel J Ellis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336251784 PECOS PAC ID: 7911947437 Enrollment ID: I20060125000847 |
Provider Name | Sheila M Scheffe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598986895 PECOS PAC ID: 2769539550 Enrollment ID: I20090414000270 |
Provider Name | Jerod Michael Grove |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1851619738 PECOS PAC ID: 1456663806 Enrollment ID: I20150629000593 |
Provider Name | Samuel Lindquist |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568843936 PECOS PAC ID: 2062793334 Enrollment ID: I20190107003143 |
Provider Name | Benjamin C Jenkins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649831215 PECOS PAC ID: 2769875731 Enrollment ID: I20220215002509 |
Provider Name | Brandy Oaks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003481300 PECOS PAC ID: 3577940964 Enrollment ID: I20220525000794 |
Provider Name | Timothy Aaron Hanson |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1801852173 PECOS PAC ID: 0648379305 Enrollment ID: I20230927002996 |
Provider Name | Sujata Sarkar |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1194800607 PECOS PAC ID: 0547223786 Enrollment ID: I20231016000446 |
Provider Name | Christopher David Liedke |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1982022943 PECOS PAC ID: 1658612726 Enrollment ID: I20231020002347 |
Provider Name | Emily Gilbert |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1649627928 PECOS PAC ID: 2062782345 Enrollment ID: I20231025003349 |
Provider Name | Brittani N Bennett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669236527 PECOS PAC ID: 3678919503 Enrollment ID: I20240313002711 |
Collett Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 Main St, Sharon Springs, KS 67758 Phone: 785-852-4942 | |