| Cloud County Health Center Inc | |
| 
					155 West College Drive Concordia KS 66901  | |
| (785) 243-4272 | |
| (785) 243-4275 | 
| Full Name | Cloud County Health Center Inc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 155 West College Drive, Concordia, Kansas | 
| Authorized Official Name and Position | David Garnas (ADMINISTRATOR) | 
| Authorized Official Contact | 7852431234 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cloud County Health Center Inc 155 W College Dr Concordia KS 66901-5207 Ph: (785) 243-4272  | Cloud County Health Center Inc 155 West College Drive Concordia KS 66901 Ph: (785) 243-4272  | 
| NPI Number | 1003950189 | 
|---|---|
| Provider Enumeration Date | 02/20/2007 | 
| Last Update Date | 12/27/2023 | 
| Medicare PECOS PAC ID | 4082522859 | 
|---|---|
| Medicare Enrollment ID | O20050222000898 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003950189 | NPI | - | NPPES | 
| 30003913460001 | Medicaid | KS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
| Provider Name | Robert L Sourk | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1942272554 PECOS PAC ID: 5496794380 Enrollment ID: I20050429000478  | 
| Provider Name | Justin M Poore | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1306849161 PECOS PAC ID: 8729182548 Enrollment ID: I20100910001017  | 
| Provider Name | Dorothy E Breault | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1245458256 PECOS PAC ID: 2769678499 Enrollment ID: I20101120000067  | 
| Provider Name | Daniel J Garlow | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1730470097 PECOS PAC ID: 2860664695 Enrollment ID: I20141030002098  | 
| Provider Name | Shawna Rae Huggans | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659751238 PECOS PAC ID: 3870800303 Enrollment ID: I20150916001919  | 
| Provider Name | Danielle E Stenger | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1578950846 PECOS PAC ID: 4183927106 Enrollment ID: I20160126001733  | 
| Provider Name | Brenda S Salazar | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033669247 PECOS PAC ID: 5496033615 Enrollment ID: I20161024000298  | 
| Provider Name | Mayra A Brooks | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1427646637 PECOS PAC ID: 3476960378 Enrollment ID: I20210319001913  | 
| Provider Name | Anthony J Ivey | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033728555 PECOS PAC ID: 7810391513 Enrollment ID: I20210803000694  | 
| Provider Name | Damandeep S Walia | 
|---|---|
| Provider Type | Practitioner - Rheumatology | 
| Provider Identifiers | NPI Number: 1225160674 PECOS PAC ID: 7113010984 Enrollment ID: I20230207003149  | 
| Provider Name | Lori Jean Golbek | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174220651 PECOS PAC ID: 2769856277 Enrollment ID: I20230324000652  | 
Cloud County Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 155 West College Drive, Concordia, KS 66901 Phone: 785-243-4272 Fax: 785-243-4275  |