| Wichita County Health Center | |
|
211 East Earl Leoti KS 67861 | |
| (620) 375-2233 | |
| Not Available |
| Full Name | Wichita County Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 East Earl, Leoti, Kansas |
| Authorized Official Name and Position | Amanda Baker (CFO) |
| Authorized Official Contact | 6203752233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wichita County Health Center Rr 2 Box 38 211 East Earl St Leoti KS 67861-9504 Ph: (620) 375-2233 | Wichita County Health Center 211 East Earl Leoti KS 67861 Ph: (620) 375-2233 |
| NPI Number | 1497746820 |
|---|---|
| Provider Enumeration Date | 11/03/2005 |
| Last Update Date | 11/24/2020 |
| Medicare PECOS PAC ID | 7113837535 |
|---|---|
| Medicare Enrollment ID | O20040316000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497746820 | NPI | - | NPPES |
| 100099560B | Medicaid | KS | |
| 01462 | Other | KS | RHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H102001 (* (Not Available)) | Primary |
Wichita County Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 E Earl St, Leoti, KS 67861 Phone: 620-375-2222 Fax: 620-375-2248 |