Organization
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SPENCER CREITZ JD (SENIOR VP, CHIEF COMPLIANCE OFFICER)
(620) 240-5015
Entity
Organization
Contact information
Practice address
2322 S MAIN ST, FORT SCOTT, KS 66701-3026
(620) 223-8040
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003958250054
—
KS
01
—
KDADS033021H
SUBSTANCE USE AND ADDICTIONS SERVICES CERTIFICATE
KS
Enumeration date
04/30/2021
Last updated
12/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us