| Heritage Medical Associates, P.a. | |
|
500 W 4th St Peabody KS 66866-1103 | |
| (620) 983-2171 | |
| (620) 983-2575 |
| Full Name | Heritage Medical Associates, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 500 W 4th St, Peabody, Kansas |
| Authorized Official Name and Position | Randolph Richard Whitely (DIRECTOR) |
| Authorized Official Contact | 6209832171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Medical Associates, P.a. 11881 Sw 47th Ter Towanda KS 67144-9264 Ph: (316) 778-2050 | Heritage Medical Associates, P.a. 500 W 4th St Peabody KS 66866-1103 Ph: (620) 983-2171 |
| NPI Number | 1316998305 |
|---|---|
| Provider Enumeration Date | 05/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316998305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-25153 (Kansas) | Primary |