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NPI Code Detail

MEDICARE: COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC

MEDICARE: COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
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
1343900000XNon-emergency Medical Transport (VAN)
2261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1463501OTHERCHILDRENS MERCY FHP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4110931OTHERKSBLUE CROSS BLUE SHIELD
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
617-1820OTHERNGS

General Provider Information

NPI Number : 1669474425
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
Provider Business Mailing Address
First Line : 3011 N MICHIGAN ST
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-2546
Country : US
Telephone Number : 620-231-9873
Fax Number :
Provider Business Practice Location Address
First Line : 3011 N MICHIGAN ST
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-2546
Country : US
Telephone Number : 620-231-9873
Fax Number :
Authorized Official
Title or Position : CEO
Name : KRISTA K POSTAI
Credential :
Telephone Number : 620-231-9873
Provider Enumeration Date : 08/11/2005
Last Update Date : 06/03/2022

Similar Medicare Providers

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Practice Location Address:
3011 N MICHIGAN ST
PITTSBURG, KS
66762-2546
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Practice Fax:
1699777425 — MRS. CHERYL A RAJOTTE ARNP
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1619979440 — MRS. BRENDA S BRENNAN APRN
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PITTSBURG, KS
66762-2546
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Practice Fax: 620-231-2808
1962404707 — MRS. LINDA K BEAN D.O.
Practice Location Address:
3011 N MICHIGAN ST
PITTSBURG, KS
66762-2546
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1891797544 — MR. DARWIN D ANDERSON PHD
Practice Location Address:
3011 N MICHIGAN ST
PITTSBURG, KS
66762-2546
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1861494510 — MRS. PAMELA R ANDERSON LSCSW
Practice Location Address:
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PITTSBURG, KS
66762-2546
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Practice Fax: 620-231-2808

Directions to “COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC ” Practice Location

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