# SOUTHEAST KANSAS MENTAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHEAST KANSAS MENTAL HEALTH CENTER
- **Other names:** Ashley Clinic Rural Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407637051
- **Legal business name:** SOUTHEAST KANSAS MENTAL HEALTH CENTER
- **Authorized official:** SHANA BENNETT (DIRECTOR OF OFFICE OPERATIONS)
- **Authorized official phone:** (620) 365-8641

## Contact information

- **Practice address:** 505 S PLUMMER AVE, CHANUTE, KS 66720-1950
- **Practice address phone:** (620) 431-2500
- **Practice address fax:** (620) 431-4418
- **Mailing address:** PO BOX 39, HUMBOLDT, KS 66748-0039
- **Mailing address phone:** (620) 473-2241
- **Mailing address fax:** (620) 473-3334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2023
- **Last updated:** 10/10/2023