| Family Care Clinic Of Western Kansas, Llc | |
|
200 W Ross Blvd Dodge City KS 67801-7221 | |
| (620) 371-7300 | |
| (620) 371-7304 |
| Full Name | Family Care Clinic Of Western Kansas, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 W Ross Blvd, Dodge City, Kansas |
| Authorized Official Name and Position | James W. Moffitt (PRESIDENT) |
| Authorized Official Contact | 6203717300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Clinic Of Western Kansas, Llc 200 W Ross Blvd Dodge City KS 67801-7221 Ph: (620) 371-7300 | Family Care Clinic Of Western Kansas, Llc 200 W Ross Blvd Dodge City KS 67801-7221 Ph: (620) 371-7300 |
| NPI Number | 1780914697 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 12/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780914697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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