| Panacea Family Medicine, Pa | |
|
629 S Plummer Ave Chanute KS 66720-1928 | |
| (620) 432-5588 | |
| (620) 432-5593 |
| Full Name | Panacea Family Medicine, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 629 S Plummer Ave, Chanute, Kansas |
| Authorized Official Name and Position | Verdon W Parham (OWNER) |
| Authorized Official Contact | 6204325588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panacea Family Medicine, Pa Po Box 843 Chanute KS 66720-0843 Ph: (620) 432-5588 | Panacea Family Medicine, Pa 629 S Plummer Ave Chanute KS 66720-1928 Ph: (620) 432-5588 |
| NPI Number | 1285681577 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 03/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285681577 | NPI | - | NPPES |
| 111208 | Other | KS | WPS MEDICARE GROUP NUMBER |
| DE1499 | Other | KS | RR MEDICARE GROUP NUMBER |
| 0000111208 | Other | KS | BLUE CROSS GROUP |
| 17-8977 | Other | KS | RURAL HEALTH CLINIC PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Kansas) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (Kansas) | Primary |
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Neosho Memorial Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2522 W 21st St, Chanute, KS 66720 Phone: 620-431-4000 | |
Ashley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 S Plummer Ave, Chanute, KS 66720 Phone: 620-431-2500 Fax: 620-431-4418 |