| Larned Clinic Site | |
|
522 Broadway St Larned KS 67550-3042 | |
| (620) 792-5700 | |
| (855) 463-0853 |
| Full Name | Larned Clinic Site |
|---|---|
| Speciality | Clinic/Center |
| Location | 522 Broadway St, Larned, Kansas |
| Authorized Official Name and Position | Freddy Gunn (CFO) |
| Authorized Official Contact | 6207925700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larned Clinic Site 1905 19th St Great Bend KS 67530-2502 Ph: (620) 792-5700 | Larned Clinic Site 522 Broadway St Larned KS 67550-3042 Ph: (620) 792-5700 |
| NPI Number | 1992220990 |
|---|---|
| Provider Enumeration Date | 08/10/2017 |
| Last Update Date | 05/08/2026 |
| Certification Date | 05/08/2026 |
| Medicare PECOS PAC ID | 4486565181 |
|---|---|
| Medicare Enrollment ID | O20171128002320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992220990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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