| Lyons Medical Center | |
|
1221 W Noble St Lyons KS 67554-3026 | |
| (620) 257-5124 | |
| (620) 257-5128 |
| Full Name | Lyons Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1221 W Noble St, Lyons, Kansas |
| Authorized Official Name and Position | Weston Tallman (CFO) |
| Authorized Official Contact | 6202575173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyons Medical Center Po Box 828 Lyons KS 67554-0828 Ph: (620) 257-5173 | Lyons Medical Center 1221 W Noble St Lyons KS 67554-3026 Ph: (620) 257-5124 |
| NPI Number | 1588933352 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 0648175042 |
|---|---|
| Medicare Enrollment ID | O20120326000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588933352 | NPI | - | NPPES |
| 30003942210005 | Medicaid | KS | |
| 100099160A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H080001 (Kansas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lyons Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 W Noble St, Lyons, KS 67554 Phone: 620-257-5124 | |
Lyons Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 S Clark Ave, Lyons, KS 67554 Phone: 620-257-5173 Fax: 620-257-2608 |