| Rudy C Sasina Llc | |
|
108 N Main St Kingman KS 67068-1301 | |
| (620) 532-2225 | |
| (620) 532-3621 |
| Full Name | Rudy C Sasina Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 N Main St, Kingman, Kansas |
| Authorized Official Name and Position | Rudy Charles Sasina (OWNER) |
| Authorized Official Contact | 6205322225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rudy C Sasina Llc 108 N Main St Kingman KS 67068-1301 Ph: (620) 532-2225 | Rudy C Sasina Llc 108 N Main St Kingman KS 67068-1301 Ph: (620) 532-2225 |
| NPI Number | 1760711667 |
|---|---|
| Provider Enumeration Date | 12/24/2009 |
| Last Update Date | 12/24/2009 |
| Medicare PECOS PAC ID | 9739215716 |
|---|---|
| Medicare Enrollment ID | O20100329001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760711667 | NPI | - | NPPES |
| 062043 | Other | KS | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4866 (Kansas) | Primary |
| Provider Name | Rudolph C Sasina |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952400558 PECOS PAC ID: 9032008560 Enrollment ID: I20040312000888 |
Kingman Health Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E A Ave, Kingman, KS 67068 Phone: 620-532-5145 Fax: 620-532-2586 | |
Advanced Mobile Healthcare And Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 437 Cedar St, Kingman, KS 67068 Phone: 620-553-5040 Fax: 620-553-5029 | |
Ninnescah Valley Health Systems Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Kingman County Family Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 West A Street, Kingman, KS 67068 Phone: 620-532-5800 Fax: 620-532-3361 | |
Kingman Health Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E A Ave, Kingman, KS 67068 Phone: 620-532-5145 Fax: 620-532-2586 |