| Ottawa Care Clinic | |
|
120 E 19th St Ste A Ottawa KS 66067-4300 | |
| (785) 214-4903 | |
| (785) 214-4622 |
| Full Name | Ottawa Care Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 120 E 19th St Ste A, Ottawa, Kansas |
| Authorized Official Name and Position | Denise Lynn Mcpheron (ADMINISTRATOR) |
| Authorized Official Contact | 7852421620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ottawa Care Clinic 1418 S Main St Ste 5 Ottawa KS 66067-3543 Ph: (785) 242-1620 | Ottawa Care Clinic 120 E 19th St Ste A Ottawa KS 66067-4300 Ph: (785) 214-4903 |
| NPI Number | 1023558541 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023558541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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