MEDICARE: MRS. SARA M CLIFT PA

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
1	363A00000X	Physician Assistant	15-00975	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	426776	OTHER	KS	BCBS

General Provider Information

NPI Number	:	1811994536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA M CLIFT PA

Provider Business Mailing Address
First Line	:	PO BOX 1832
Second Line	:
City	:	PITTSBURG
State	:	KS
Zip	:	66762-1832
Country	:	US
Telephone Number	:	620-231-9873
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 N KENTUCKY ST
Second Line	:
City	:	IOLA
State	:	KS
Zip	:	66749-2527
Country	:	US
Telephone Number	:	888-777-9170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/08/2024

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