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NPI Code Detail

MEDICARE: PREFERRED MEDICAL ASSOCIATES

MEDICARE: PREFERRED MEDICAL ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316952070
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED MEDICAL ASSOCIATES
Provider Business Mailing Address
First Line : 401 S WASHINGTON AVE
Second Line :
City : IOLA
State : KS
Zip : 66749-3256
Country : US
Telephone Number : 620-365-6933
Fax Number : 620-365-8126
Provider Business Practice Location Address
First Line : 401 S WASHINGTON AVE
Second Line :
City : IOLA
State : KS
Zip : 66749-3256
Country : US
Telephone Number : 620-365-6933
Fax Number : 620-365-8126
Authorized Official
Title or Position : DO/MANAGING PARTNER
Name : DR. EDWARD J HETT
Credential :
Telephone Number : 620-365-6933
Provider Enumeration Date : 07/30/2006
Last Update Date : 01/05/2012

Similar Medicare Providers

1639173156 — DR. TIMOTHY C. SPEARS DO
Practice Location Address:
401 S WASHINGTON AVE
IOLA, KS
66749-3256
Practice Phone: 620-365-0151
Practice Fax: 620-228-5440
1114988193 — RICHARD L HULL DO
Practice Location Address:
401 S WASHINGTON AVE
IOLA, KS
66749-3256
Practice Phone: 620-365-6933
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1518928068 — MARGARET L LESHER ARNP
Practice Location Address:
401 S WASHINGTON AVE
IOLA, KS
66749-3256
Practice Phone: 620-365-6933
Practice Fax: 620-365-8126
1235191453 — WESLEY D STONE DO
Practice Location Address:
401 S WASHINGTON AVE
IOLA, KS
66749-3256
Practice Phone: 620-365-6933
Practice Fax: 620-365-8126
1326003757 — EARL THOMAS WALTER DO
Practice Location Address:
401 S WASHINGTON AVE
IOLA, KS
66749-3256
Practice Phone: 620-365-6933
Practice Fax: 620-365-8126
1184749145 — PREFERRED MEDICAL ASSOCIATES
Practice Location Address:
401 S WASHINGTON AVE
IOLA, KS
66749-3256
Practice Phone: 620-365-6933
Practice Fax: 620-365-8126

Directions to “PREFERRED MEDICAL ASSOCIATES ” Practice Location

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