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Organization
SOUTH CENTRAL KANSAS CLINIC LLC
Active
Organization
SOUTH CENTRAL KANSAS CLINIC LLC
Active
Parent organization
SOUTH CENTRAL KANSAS CLINIC
Other names
SCKC Speciality Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL KANSAS CLINIC
Authorized official
JEFF BOWMAN (CEO)
(620) 441-5900
Entity
Organization
Contact information
Practice address
6403 PATTERSON PKWY, ARKANSAS CITY, KS 67005-5701
(620) 447-5711
(620) 441-5891
Mailing address
6403 PATTERSON PKWY, ARKANSAS CITY, KS 67005-5701
(620) 447-5711
(620) 441-5891
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/19/2019
Last updated
09/17/2019
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