| Ashley Clinic Llc | |
|
202 S 9th St Humboldt KS 66748-1908 | |
| (620) 473-2275 | |
| (620) 473-2821 |
| Full Name | Ashley Clinic Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 202 S 9th St, Humboldt, Kansas |
| Authorized Official Name and Position | Robert K Thomen (PHYSICIAN OWNER) |
| Authorized Official Contact | 6204312500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Clinic Llc Po Box 946 Chanute KS 66720-0946 Ph: (620) 431-2500 | Ashley Clinic Llc 202 S 9th St Humboldt KS 66748-1908 Ph: (620) 473-2275 |
| NPI Number | 1184793499 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 10/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184793499 | NPI | - | NPPES |
| 100080330E | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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