| Elm Acres Recovery -columbus Outpatient | |
|
501 W Central St Columbus KS 66725-9211 | |
| (620) 429-1949 | |
| (620) 429-1982 |
| Full Name | Elm Acres Recovery -columbus Outpatient |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 501 W Central St, Columbus, Kansas |
| Authorized Official Name and Position | Kerye J Jackson (CFO) |
| Authorized Official Contact | 7858414138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Acres Recovery -columbus Outpatient 3312 Clinton Pkwy Lawrence KS 66047-3624 Ph: (785) 841-4138 | Elm Acres Recovery -columbus Outpatient 501 W Central St Columbus KS 66725-9211 Ph: (620) 429-1949 |
| NPI Number | 1215055090 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215055090 | NPI | - | NPPES |
| 100106740R | Medicaid | KS | |
| 116027 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 052 (Kansas) | Primary |