| Community Health Center Of Southeast Kansas, Inc | |
|
312 S Maple St Garnett KS 66032-1333 | |
| (888) 777-9170 | |
| Not Available |
| Full Name | Community Health Center Of Southeast Kansas, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 312 S Maple St, Garnett, Kansas |
| Authorized Official Name and Position | Daniel Spencer Creitz (COMPLIANCE OFFICER) |
| Authorized Official Contact | 6202405015 |
| 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, Inc Po Box 1832 Pittsburg KS 66762-1832 Ph: () - | Community Health Center Of Southeast Kansas, Inc 312 S Maple St Garnett KS 66032-1333 Ph: (888) 777-9170 |
| NPI Number | 1225759996 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 11/18/2022 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20221117000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225759996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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