Healthcare Provider Details

I. General information

NPI: 1346733714
Provider Name (Legal Business Name): COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 N. STATE ST
IOLA KS
66749
US

IV. Provider business mailing address

3011 N MICHIGAN
PITTSBURG KS
66762
US

V. Phone/Fax

Practice location:
  • Phone: 620-380-6400
  • Fax: 620-380-6215
Mailing address:
  • Phone: 620-231-9873
  • Fax: 620-231-5062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KRISTA K POSTAI
Title or Position: CEO
Credential:
Phone: 620-231-9873