| Catholic Charities Of Southwest Kansas, Inc | |
|
804 N 2nd Ave Dodge City KS 67801-4411 | |
| (620) 227-1562 | |
| Not Available |
| Full Name | Catholic Charities Of Southwest Kansas, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 804 N 2nd Ave, Dodge City, Kansas |
| Authorized Official Name and Position | Deborah Snapp (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6202271562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of Southwest Kansas, Inc 804 N 2nd Ave Dodge City KS 67801-4411 Ph: (620) 227-1562 | Catholic Charities Of Southwest Kansas, Inc 804 N 2nd Ave Dodge City KS 67801-4411 Ph: (620) 227-1562 |
| NPI Number | 1538547567 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 8921391988 |
|---|---|
| Medicare Enrollment ID | O20160728000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538547567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 06590813 (Kansas) | Primary |
| Provider Name | Debra A Schartz Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740301696 PECOS PAC ID: 2860785847 Enrollment ID: I20160728000930 |
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