MEDICARE: COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS/WOMENS HEALTH

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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1881886174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS/WOMENS HEALTH

Provider Business Mailing Address
First Line	:	110 E WALNUT ST
Second Line	:
City	:	COLUMBUS
State	:	KS
Zip	:	66725-1249
Country	:	US
Telephone Number	:	888-405-5323
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 E WALNUT ST
Second Line	:
City	:	COLUMBUS
State	:	KS
Zip	:	66725-1249
Country	:	US
Telephone Number	:	888-405-5323
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KRISTA K POSTAI
Credential	:
Telephone Number	:	620-231-9873

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	08/14/2007

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