| Community Health Center Of Southeast Kansas, Inc. | |
|
1801 S Broadway St. Pittsburg KS 66762 | |
| (888) 777-9170 | |
| Not Available |
| Full Name | Community Health Center Of Southeast Kansas, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1801 S Broadway St., Pittsburg, 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: (888) 777-9170 | Community Health Center Of Southeast Kansas, Inc. 1801 S Broadway St. Pittsburg KS 66762 Ph: (888) 777-9170 |
| NPI Number | 1457032120 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 7911816392 |
|---|---|
| Medicare Enrollment ID | O20231027001697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457032120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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