Community Health Center Of Southeast Kansas INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Columbus, KS. Organization (NPI-2).
NPI number1417656166
StatusActive
Last updated in NPPESMar 1, 2023
Details
- NPI
- 1417656166
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Health Center Of Southeast Kansas INC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2023
- Certification date
- Feb 27, 2023
- Last updated
- Mar 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
124 S Highschool AveColumbus, KS 66725-1159
Phone 888-777-9170 · Fax 620-231-5062
Mailing address
Po Box 1832Pittsburg, KS 66762-1832
Phone 888-777-9170 · Fax 620-231-5062
Authorized official
Daniel Spencer Creitz
Sr Vp
6202405015
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