| Kickapoo Nation Health Center | |
|
1117 Goldfinch Rd Horton KS 66439-9537 | |
| (785) 486-2154 | |
| (785) 486-2158 |
| Full Name | Kickapoo Nation Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1117 Goldfinch Rd, Horton, Kansas |
| Authorized Official Name and Position | Ashley Santer (ADMINISTRATION) |
| Authorized Official Contact | 7854862154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kickapoo Nation Health Center 1117 Goldfinch Rd Horton KS 66439-9537 Ph: (785) 486-2154 | Kickapoo Nation Health Center 1117 Goldfinch Rd Horton KS 66439-9537 Ph: (785) 486-2154 |
| NPI Number | 1992806012 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 0749228930 |
|---|---|
| Medicare Enrollment ID | O20151125000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992806012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
| Provider Name | Jamie M Jacobsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669447330 PECOS PAC ID: 5799706263 Enrollment ID: I20140814002166 |
| Provider Name | Michelle L Koch-shamburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386740892 PECOS PAC ID: 6103857032 Enrollment ID: I20190722003401 |
| Provider Name | Richard L Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114029428 PECOS PAC ID: 7911938733 Enrollment ID: I20190910000241 |
| Provider Name | Hollie Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245739127 PECOS PAC ID: 0345503413 Enrollment ID: I20211028002783 |
Amberwell Horton Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1903 Euclid Ave, Horton, KS 66439 Phone: 785-486-2468 Fax: 785-486-2371 | |
Horton Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Euclid Ave, Horton, KS 66439 Phone: 785-486-2998 Fax: 785-486-2736 | |
Horton Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Euclid Ave, Horton, KS 66439 Phone: 785-879-4325 Fax: 785-879-4398 | |
Physician Hospital Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 W 18th St, Horton, KS 66439 Phone: 785-486-2642 Fax: 785-486-2842 | |
Searight Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1890 Euclid Ave, Suite 4, Horton, KS 66439 Phone: 785-486-2180 Fax: 785-486-2140 | |
Horton Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 W 18th St, Horton, KS 66439 Phone: 785-879-4357 Fax: 785-879-4406 |