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Organization
BELOIT MEDICAL CENTER, P.A.
Active
Organization
BELOIT MEDICAL CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ALAN CONCANNON M.D. (SECRETARY/TREASURER)
(785) 738-2246
Entity
Organization
Contact information
Practice address
1005 N LINCOLN AVE, BELOIT, KS 67420-1215
(785) 738-2246
(785) 738-4303
Mailing address
PO BOX 587, BELOIT, KS 67420-0587
(785) 738-2246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003910
KS. BLUE SHIELD
KS
05
—
100088300A
—
KS
Enumeration date
05/28/2006
Last updated
07/27/2021
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