| Konza Prairie Community Health Center, Inc. | |
|
2030 Tecumseh Rd Ste 100 Manhattan KS 66502-3512 | |
| (785) 320-7134 | |
| (785) 530-6150 |
| Full Name | Konza Prairie Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2030 Tecumseh Rd Ste 100, Manhattan, Kansas |
| Authorized Official Name and Position | Danielle Hallgren (CEO) |
| Authorized Official Contact | 7852384711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Konza Prairie Community Health Center, Inc. 361 Grant Ave Junction City KS 66441-4201 Ph: (785) 238-4711 | Konza Prairie Community Health Center, Inc. 2030 Tecumseh Rd Ste 100 Manhattan KS 66502-3512 Ph: (785) 320-7134 |
| NPI Number | 1497201347 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 01/06/2023 |
| Medicare PECOS PAC ID | 3779483466 |
|---|---|
| Medicare Enrollment ID | O20150603002490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497201347 | NPI | - | NPPES |
| 100212260E | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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