| Community Health Center Of Southeast Kansas, Inc. | |
|
203 N Kentucky St Iola KS 66749-2527 | |
| (888) 777-9170 | |
| (620) 231-5062 |
| Full Name | Community Health Center Of Southeast Kansas, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 N Kentucky St, Iola, Kansas |
| Authorized Official Name and Position | Daniel Spencer Creitz (SR VP) |
| 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: (888) 777-9170 | Community Health Center Of Southeast Kansas, Inc. 203 N Kentucky St Iola KS 66749-2527 Ph: (888) 777-9170 |
| NPI Number | 1215643143 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20230524003149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215643143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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