| Northeast Kansas Center For Health And Wellness, Inc. | |
|
517 Main St Everest KS 66424 | |
| (785) 548-7610 | |
| (785) 486-2842 |
| Full Name | Northeast Kansas Center For Health And Wellness, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 517 Main St, Everest, Kansas |
| Authorized Official Name and Position | Dale A White (CEO) |
| Authorized Official Contact | 7854862642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Kansas Center For Health And Wellness, Inc. 240 W 18th St Horton KS 66439-1245 Ph: (785) 486-2642 | Northeast Kansas Center For Health And Wellness, Inc. 517 Main St Everest KS 66424 Ph: (785) 548-7610 |
| NPI Number | 1710923842 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710923842 | NPI | - | NPPES |
| 110054 | Other | KS | BLUE SHIELD |
| 105444 | Other | KS | BLUE SHIELD |
| 426715 | Other | KS | BLUE SHIELD |
| 928432 | Other | KS | FIRST GUARD HEALTH PLAN |
| 426979 | Other | KS | BLUE SHIELD |
| 426995 | Other | KS | BLUE SHIELD |
| 664990 | Other | KS | FIRST GUARD HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H-007-002 (Kansas) | Primary |
Cah Acquisition Company 3 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Main St, Everest, KS 66424 Phone: 785-548-7610 Fax: 785-486-2842 |