| Jewell County Rural Health Clinic | |
|
102 S Center St Mankato KS 66956-2202 | |
| (785) 378-3511 | |
| (785) 378-3919 |
| Full Name | Jewell County Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 S Center St, Mankato, Kansas |
| Authorized Official Name and Position | Krista Silsby (CFO) |
| Authorized Official Contact | 7853783137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewell County Rural Health Clinic 100 Crestvue Ave Mankato KS 66956-2407 Ph: (785) 378-3137 | Jewell County Rural Health Clinic 102 S Center St Mankato KS 66956-2202 Ph: (785) 378-3511 |
| NPI Number | 1386689586 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 10/16/2014 |
| Medicare PECOS PAC ID | 7911818273 |
|---|---|
| Medicare Enrollment ID | O20030904000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386689586 | NPI | - | NPPES |
| 110421 | Other | KS | BLUE CROSS BLUE SHIELD KS |
| 664280 | Other | KS | FIRSTGUARD |
| 100099530B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H045001 (Kansas) | Primary |
Jewell County Hospital Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Crestvue Ave, Mankato, KS 66956 Phone: 785-378-3137 |