Organization
COMMUNITY CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XAVIAR CHRISTOPHER ALEC STEAVENSON (OWNER/DIRECTOR)
(620) 340-0317
Entity
Organization
Contact information
Practice address
1101 COMMERCIAL ST, EMPORIA, KS 66801-2989
(620) 340-0317
(620) 343-3033
Mailing address
1101 COMMERCIAL ST, EMPORIA, KS 66801-2989
(620) 340-0317
(620) 343-3033
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A056014
KS
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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