| Independence Family Medicine | |
|
1415 N Penn Ave Independence KS 67301-2222 | |
| (620) 331-2400 | |
| (620) 331-0747 |
| Full Name | Independence Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1415 N Penn Ave, Independence, Kansas |
| Authorized Official Name and Position | Lori C Smith (CFO) |
| Authorized Official Contact | 6203258388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Family Medicine Po Box 360 Neodesha KS 66757-0360 Ph: (620) 325-2611 | Independence Family Medicine 1415 N Penn Ave Independence KS 67301-2222 Ph: (620) 331-2400 |
| NPI Number | 1003251802 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 2163656208 |
|---|---|
| Medicare Enrollment ID | O20131003000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003251802 | NPI | - | NPPES |
| 012213 | Other | KS | MEDICARE PART B PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Community Health Center of Southeast Kansas, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-577-2131 |
Mears Medical Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Arco Pl, Suite 333, Independence, KS 67301 Phone: 620-331-5440 Fax: 620-331-3791 |
Health Services - Premise Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14115 Russ Meyer Blvd, Independence, KS 67301 Phone: 620-332-0110 Fax: 620-332-0116 |
Johnson Chiropractic and Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 E Main St, Independence, KS 67301 Phone: 620-331-0601 |
Labette Health Independence Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Peter Pan Rd Ste B, Independence, KS 67301 Phone: 620-577-4310 |
Robert M Osborn DO PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N. 14th St., Independence, KS 67301 Phone: 620-331-2070 |