MEDICARE: ROOKS COUNTY MEDICAL ASSOCIATES 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	207Q00000X	Family Medicine Physician	0528153	KS
2	261QR1300X	Rural Health Clinic/Center		KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080179741	OTHER	KS	RAILROAD MEDICARE

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

General Provider Information

NPI Number	:	1992730592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOKS COUNTY MEDICAL ASSOCIATES PA

Provider Business Mailing Address
First Line	:	623 S 2ND ST
Second Line	:
City	:	STOCKTON
State	:	KS
Zip	:	67669-1966
Country	:	US
Telephone Number	:	785-425-6417
Fax Number	:	785-425-6138

Provider Business Practice Location Address
First Line	:	300 S COLORADO ST
Second Line	:
City	:	PLAINVILLE
State	:	KS
Zip	:	67663-2505
Country	:	US
Telephone Number	:	785-425-6417
Fax Number	:	785-425-6138

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANN RENEE TAYLOR
Credential	:	D O
Telephone Number	:	785-425-6417

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	06/16/2008

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Directions to “ROOKS COUNTY MEDICAL ASSOCIATES PA ” Practice Location

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