| Providence Family Health Care Llc | |
|
211 Greenway Rd Salina KS 67401-3533 | |
| (785) 309-1166 | |
| Not Available |
| Full Name | Providence Family Health Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 211 Greenway Rd, Salina, Kansas |
| Authorized Official Name and Position | Christopher M. Brown (PHYSICIAN) |
| Authorized Official Contact | 7858276400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Family Health Care Llc 211 Greenway Rd Salina KS 67401-3533 Ph: (785) 309-1166 | Providence Family Health Care Llc 211 Greenway Rd Salina KS 67401-3533 Ph: (785) 309-1166 |
| NPI Number | 1104993641 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104993641 | NPI | - | NPPES |
| 200263350A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0429899 (Kansas) | Primary |
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