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General NPI Number Information
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NPI Number | 1639642820
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANAS, INC.
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 2322 S MAIN ST
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City | FORT SCOTT
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State | KS
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Zip | 66701-3026
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Country | US
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Telephone | 620-223-7075
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Fax | 620-223-7050
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Provider Business Mailing Address
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Address Line | 3011 N MICHIGAN ST
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City | PITTSBURG
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State | KS
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Zip | 66762-2546
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Country | US
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Telephone | 620-231-9873
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Fax | 620-231-5062
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Authorized Official
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Title or Position | CEO AND PRESIDENT
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Name | KRISTA POSTAI
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Credential |
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Telephone | 620-231-9873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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