| Fowler Community Clinic | |
|
404 Main Street Fowler KS 67844-0462 | |
| (620) 646-5446 | |
| (620) 646-5708 |
| Full Name | Fowler Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 404 Main Street, Fowler, Kansas |
| Authorized Official Name and Position | Deborah Bruner (CEO) |
| Authorized Official Contact | 6208854264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fowler Community Clinic Po Box 462 Fowler KS 67844-0462 Ph: (620) 646-5446 | Fowler Community Clinic 404 Main Street Fowler KS 67844-0462 Ph: (620) 646-5446 |
| NPI Number | 1700975729 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Medicare PECOS PAC ID | 1355252545 |
|---|---|
| Medicare Enrollment ID | O20051221000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700975729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | H013002 (Kansas) | Primary |
Usd225, Fowler Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 East 8th Avenue, 100 E. 8th Ave., Fowler, KS 67844 Phone: 620-646-5661 Fax: 629-646-5713 |
Fowler Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 1/2 S Main St, Fowler, KS 67844 Phone: 620-873-2141 |