| Heart Of Kansas Family Health Care, Inc. | |
|
609 E 1st Ave St John KS 67576-2223 | |
| (620) 792-5700 | |
| (620) 792-5742 |
| Full Name | Heart Of Kansas Family Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 609 E 1st Ave, St John, Kansas |
| Authorized Official Name and Position | Freddy Gunn (OFFICE MANGER) |
| Authorized Official Contact | 6207925700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Kansas Family Health Care, Inc. 1905 19th St Great Bend KS 67530-2502 Ph: (620) 792-5700 | Heart Of Kansas Family Health Care, Inc. 609 E 1st Ave St John KS 67576-2223 Ph: (620) 792-5700 |
| NPI Number | 1215772678 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/27/2024 |
| Medicare PECOS PAC ID | 4486565181 |
|---|---|
| Medicare Enrollment ID | O20250414000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215772678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Edwards County Hospital And Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 E 1st Ave, St John, KS 67576 Phone: 620-659-3802 Fax: 620-659-3869 |