| Generations Healthcare Llc | |
|
127 W 5th St Pittsburg KS 66762-3801 | |
| (218) 461-9085 | |
| Not Available |
| Full Name | Generations Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 127 W 5th St, Pittsburg, Kansas |
| Authorized Official Name and Position | Katelyn Hite (OWNER) |
| Authorized Official Contact | 6207049422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Healthcare Llc 127 W 5th St Pittsburg KS 66762-3801 Ph: (218) 461-9085 | Generations Healthcare Llc 127 W 5th St Pittsburg KS 66762-3801 Ph: (218) 461-9085 |
| NPI Number | 1861156739 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Medicare PECOS PAC ID | 8729478300 |
|---|---|
| Medicare Enrollment ID | O20211214002839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861156739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Katelyn E Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700299542 PECOS PAC ID: 2769601178 Enrollment ID: I20180530001762 |
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