| Williams Medical Group Practice Llc | |
|
2031 W 6th Ave Emporia KS 66801 | |
| (620) 481-2520 | |
| Not Available |
| Full Name | Williams Medical Group Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2031 W 6th Ave, Emporia, Kansas |
| Authorized Official Name and Position | Grant Asay (CEO) |
| Authorized Official Contact | 4054451210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Medical Group Practice Llc 701 Cedar Lake Blvd Ste 120 Oklahoma City OK 73114-7815 Ph: (405) 445-1210 | Williams Medical Group Practice Llc 2031 W 6th Ave Emporia KS 66801 Ph: (620) 481-2520 |
| NPI Number | 1518642081 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 3375832157 |
|---|---|
| Medicare Enrollment ID | O20230803002914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518642081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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