| Northeast Kansas Community Action Program | |
|
1260 220th Street Hiawatha KS 66434-0380 | |
| (785) 742-2222 | |
| (785) 742-2164 |
| Full Name | Northeast Kansas Community Action Program |
|---|---|
| Speciality | Dentist |
| Location | 1260 220th Street, Hiawatha, Kansas |
| Authorized Official Name and Position | Lu Hangley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7857422222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Kansas Community Action Program Po Box 380 Hiawatha KS 66434-0380 Ph: (785) 742-2222 | Northeast Kansas Community Action Program 1260 220th Street Hiawatha KS 66434-0380 Ph: (785) 742-2222 |
| NPI Number | 1114051976 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114051976 | NPI | - | NPPES |
| 100385380A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Ronald G. Wright, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 Delaware St, Hiawatha, KS 66434 Phone: 785-742-2165 Fax: 785-742-3411 | |
Jordan D Haedt Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 Delaware St, Hiawatha, KS 66434 Phone: 785-742-2165 | |
Hiawatha Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S 6th St, Hiawatha, KS 66434 Phone: 785-740-4000 Fax: 785-742-2727 |