| Integris Bass Baptist Health Center | |
|
415 S Osage St Caldwell KS 67022-1650 | |
| (620) 845-2516 | |
| Not Available |
| Full Name | Integris Bass Baptist Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 415 S Osage St, Caldwell, Kansas |
| Authorized Official Name and Position | Chris Hammes (SENIOR VICE PRESIDENT & COO) |
| Authorized Official Contact | 4059493402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integris Bass Baptist Health Center 5400 N Independence Ave Ste 200 Oklahoma City OK 73112-5300 Ph: (405) 713-5515 | Integris Bass Baptist Health Center 415 S Osage St Caldwell KS 67022-1650 Ph: (620) 845-2516 |
| NPI Number | 1942201397 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 03/29/2022 |
| Medicare PECOS PAC ID | 0345151981 |
|---|---|
| Medicare Enrollment ID | O20050419000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942201397 | NPI | - | NPPES |
| 100755850B | Other | OK | OK MEDICAID FFS |
| 100100440 C | Other | KS | KS MEDICAID RHC |
| 100193490E | Other | OK | OK MEDICAID SC |
| 100699500P | Other | OK | OK MEDICAID RHC |
| 100699500P | Medicaid | OK | |
| 100100440 D | Other | KS | KS MEDICAID FFS |
| 460169 | Other | KS | KS RHC CHILD MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jim D Blunk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962402537 PECOS PAC ID: 1153387220 Enrollment ID: I20050506000441 |
| Provider Name | Molly Kay Partee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376063321 PECOS PAC ID: 6800166919 Enrollment ID: I20170724000825 |
| Provider Name | Amanda Rigney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316578842 PECOS PAC ID: 8921401522 Enrollment ID: I20210720002237 |
Sumner County Hospital District No 1 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 761 W 175th St S, Caldwell, KS 67022 Phone: 620-845-6492 Fax: 620-845-2518 |