| Rolla Medical Clinic | |
|
415 Washington Rolla KS 67954-0098 | |
| (620) 593-4242 | |
| (620) 593-4243 |
| Full Name | Rolla Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 415 Washington, Rolla, Kansas |
| Authorized Official Name and Position | Rodney Johnson (CLINIC MANAGER) |
| Authorized Official Contact | 6206972175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolla Medical Clinic Po Box 98 Elkhart KS 67950-0098 Ph: (620) 593-4242 | Rolla Medical Clinic 415 Washington Rolla KS 67954-0098 Ph: (620) 593-4242 |
| NPI Number | 1295268928 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 04/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295268928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0426359 (Kansas) | Primary |
| 363A00000X | Physician Assistant | 1501277 (Kansas) | Secondary |
| 363L00000X | Nurse Practitioner | 5377163 (Kansas) | Secondary |
Rolla Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Washington, Rolla, KS 67954 Phone: 620-697-2175 |