| A Healthy Choice Clinic | |
|
612 Broadway St Larned KS 67550-3049 | |
| (620) 285-6041 | |
| (620) 285-6149 |
| Full Name | A Healthy Choice Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 612 Broadway St, Larned, Kansas |
| Authorized Official Name and Position | Mark Ethan Van Norden (PARTNER) |
| Authorized Official Contact | 6208040385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Healthy Choice Clinic 612 Broadway St Larned KS 67550-3049 Ph: (620) 285-6041 | A Healthy Choice Clinic 612 Broadway St Larned KS 67550-3049 Ph: (620) 285-6041 |
| NPI Number | 1912184466 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Medicare PECOS PAC ID | 7214015106 |
|---|---|
| Medicare Enrollment ID | O20080417000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912184466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 05-30418 (Kansas) | Primary |
| Provider Name | Mark Ethan Van Norden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376595959 PECOS PAC ID: 8729078456 Enrollment ID: I20040514000871 |
Trinity Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Eagle Ct, Larned, KS 67550 Phone: 620-285-2675 | |
St. Joseph Memorial Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 W 11th St, Larned, KS 67550 Phone: 620-285-6958 Fax: 620-285-2173 | |
Pawnee Valley Community Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 W 11th St, Larned, KS 67550 Phone: 620-804-6007 | |
Life Center Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E 6th St, Larned, KS 67550 Phone: 620-804-2691 | |
St. Joseph Memorial Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 W 11th St, Larned, KS 67550 Phone: 620-285-6958 Fax: 620-285-2173 | |
Hays Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 W 11th St, Larned, KS 67550 Phone: 620-804-6007 |