| Mauck Medical Clinic, Llc | |
|
917 Pine Ave Ste D Hoxie KS 67740-4216 | |
| (785) 677-3930 | |
| Not Available |
| Full Name | Mauck Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 917 Pine Ave Ste D, Hoxie, Kansas |
| Authorized Official Name and Position | Heather Mauck (OWNER) |
| Authorized Official Contact | 7856571434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mauck Medical Clinic, Llc Po Box 703 Hoxie KS 67740-0703 Ph: (785) 657-1434 | Mauck Medical Clinic, Llc 917 Pine Ave Ste D Hoxie KS 67740-4216 Ph: (785) 677-3930 |
| NPI Number | 1467042895 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 01/20/2021 |
| Medicare PECOS PAC ID | 3678987666 |
|---|---|
| Medicare Enrollment ID | O20210203000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467042895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Heather Mauck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245563782 PECOS PAC ID: 2860533288 Enrollment ID: I20100107000531 |
Sheridan County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 18th St, Hoxie, KS 67740 Phone: 785-675-3018 Fax: 785-675-2306 | |
Neuenschwander Md's, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Main St, Box 258, Hoxie, KS 67740 Phone: 785-675-3292 Fax: 785-675-3065 | |
Sheridan County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 826 18th St Ste A, Box 415, Hoxie, KS 67740 Phone: 785-675-3018 Fax: 785-675-2306 |