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1004 E Madison St Yates Center KS 66783-1314 | |
(620) 625-2312 | |
(620) 625-3560 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1004 E Madison St, Yates Center, Kansas |
Authorized Official Name and Position | Merri Michaels (BILLING MANAGER) |
Authorized Official Contact | 6203642121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1004 E Madison St Po Box 70 Yates Center KS 66783-1314 Ph: (620) 625-2312 | 1004 E Madison St Yates Center KS 66783-1314 Ph: (620) 625-2312 |
NPI Number | 1922246354 |
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Provider Enumeration Date | 01/22/2009 |
Last Update Date | 01/15/2019 |
Medicare PECOS PAC ID | 4981598653 |
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Medicare Enrollment ID | O20090413000106 |
Identifier | Type | State | Issuer |
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1922246354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |