| Community Health Center Of Southeast Kansas/columbus Clinic | |
|
101 W Sycamore St Columbus KS 66725-1276 | |
| (620) 249-2101 | |
| (620) 429-2106 |
| Full Name | Community Health Center Of Southeast Kansas/columbus Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 W Sycamore St, Columbus, Kansas |
| Authorized Official Name and Position | Krista K Postai (CEO) |
| Authorized Official Contact | 6202319873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Southeast Kansas/columbus Clinic 3011 N Michigan St Pittsburg KS 66762-2546 Ph: (620) 231-9873 | Community Health Center Of Southeast Kansas/columbus Clinic 101 W Sycamore St Columbus KS 66725-1276 Ph: (620) 249-2101 |
| NPI Number | 1972794402 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 01/03/2020 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20030626000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972794402 | NPI | - | NPPES |
| 468481 | Other | CHILDRENS MERCY FHP | |
| 17-1821 | Other | NGS NAT. GOV. SERVICES | |
| 100456320E | Medicaid | KS | |
| 200099190C | Medicaid | OK | |
| 100456320W | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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