| Ckf Addiction Treatment | |
|
617 E Elm Street Salina KS 67401 | |
| (785) 825-6224 | |
| (785) 825-7595 |
| Full Name | Ckf Addiction Treatment |
|---|---|
| Speciality | Clinic/Center |
| Location | 617 E Elm Street, Salina, Kansas |
| Authorized Official Name and Position | Shane D Hudson (PRESIDENT & CEO) |
| Authorized Official Contact | 7858256224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ckf Addiction Treatment 617 E Elm Street Salina KS 67401 Ph: (785) 825-6224 | Ckf Addiction Treatment 617 E Elm Street Salina KS 67401 Ph: (785) 825-6224 |
| NPI Number | 1164499075 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Medicare PECOS PAC ID | 0749284545 |
|---|---|
| Medicare Enrollment ID | O20200917002827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164499075 | NPI | - | NPPES |
| 100211470A | Medicaid | KS |
| Provider Name | Charles T Allred |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083618839 PECOS PAC ID: 5193634236 Enrollment ID: I20041014000520 |
| Provider Name | David M Dupy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164741484 PECOS PAC ID: 2961652888 Enrollment ID: I20121030000164 |
| Provider Name | Danelle Koppes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699247288 PECOS PAC ID: 7810317864 Enrollment ID: I20201014000271 |
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