| South Central Kansas Clinic Llc | |
|
515 N Summit St Arkansas City KS 67005-2227 | |
| (620) 442-4850 | |
| (620) 441-5953 |
| Full Name | South Central Kansas Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 515 N Summit St, Arkansas City, Kansas |
| Authorized Official Name and Position | Shanon Ashley (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3165001303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Kansas Clinic Llc Po Box 1107 Arkansas City KS 67005-1107 Ph: (620) 442-4850 | South Central Kansas Clinic Llc 515 N Summit St Arkansas City KS 67005-2227 Ph: (620) 442-4850 |
| NPI Number | 1649682378 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 7810113156 |
|---|---|
| Medicare Enrollment ID | O20140723001300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649682378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Rhonda Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649370032 PECOS PAC ID: 6709842628 Enrollment ID: I20041202000701 |
| Provider Name | Kamran H Shahzada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669572053 PECOS PAC ID: 4385600212 Enrollment ID: I20041202000758 |
| Provider Name | Patrick T Blatchford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003073602 PECOS PAC ID: 0446318984 Enrollment ID: I20081028000024 |
| Provider Name | Suhail A Ansari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255335196 PECOS PAC ID: 7214074590 Enrollment ID: I20091117000153 |
| Provider Name | Eric B Thomson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386750065 PECOS PAC ID: 4486790565 Enrollment ID: I20101004001414 |
| Provider Name | Perry Lin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356342943 PECOS PAC ID: 1759394042 Enrollment ID: I20130304000115 |
| Provider Name | Willie L Posey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346219417 PECOS PAC ID: 2062438468 Enrollment ID: I20130516000525 |
| Provider Name | Heather L Irving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598199770 PECOS PAC ID: 0941435614 Enrollment ID: I20131105001079 |
| Provider Name | Angela L Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891128682 PECOS PAC ID: 9234365123 Enrollment ID: I20131125000877 |
| Provider Name | Tammy Cullum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699309120 PECOS PAC ID: 2668801564 Enrollment ID: I20200327002130 |
| Provider Name | Mandy Kay Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174112882 PECOS PAC ID: 2163838111 Enrollment ID: I20210317000928 |
Kamran Shahzada, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 N Summit St, Arkansas City, KS 67005 Phone: 620-442-4850 Fax: 620-442-9560 | |
Ark City Clinic P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 W Radio Ln, Arkansas City, KS 67005 Phone: 620-442-2100 Fax: 620-442-8945 | |
Tammy Cullum, Fnp-bc, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Edgemont Dr Ste 2, Arkansas City, KS 67005 Phone: 620-741-5045 | |
Sckc Speciality Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6403 Patterson Pkwy, Arkansas City, KS 67005 Phone: 620-447-5711 Fax: 620-441-5891 | |
Ark City Clinic P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 W Radio Ln, Arkansas City, KS 67005 Phone: 620-442-2100 Fax: 620-442-8426 | |
Sckc Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 W Radio Ln, Arkansas City, KS 67005 Phone: 620-442-6041 Fax: 620-442-2100 |