| Simmons Medical Clinic, P.a. | |
|
1026 N Highway 69 Frontenac KS 66763-8100 | |
| (620) 231-9669 | |
| (620) 231-4585 |
| Full Name | Simmons Medical Clinic, P.a. |
|---|---|
| Speciality | Clinic/center |
| Location | 1026 N Highway 69, Frontenac, Kansas |
| Authorized Official Name and Position | Michael R Simmons (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6202319669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simmons Medical Clinic, P.a. Po Box 999 Frontenac KS 66763-0999 Ph: (620) 231-9669 | Simmons Medical Clinic, P.a. 1026 N Highway 69 Frontenac KS 66763-8100 Ph: (620) 231-9669 |
| NPI Number | 1942307285 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 12/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942307285 | NPI | - | NPPES |
| 100151280B | Medicaid | KS | |
| 058129 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 04-24193 (Kansas) | Primary |
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