Organization
COUNTY OF CRAWFORD
Active
Other names
Community Mental Health Center of Crawford County
Organization subpart
No
Provider details
NPI number
Authorized official
STACY L KRATZ (DIRECTOR OF OPERATIONS)
(620) 231-5130
Entity
Organization
Contact information
Practice address
911 E CENTENNIAL DR, PITTSBURG, KS 66762-6601
(620) 231-5130
(620) 235-7101
Mailing address
911 E CENTENNIAL DR, PITTSBURG, KS 66762-6601
(620) 231-5130
(620) 235-7101
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000067
BCBS
—
01
—
00132
BCBS
—
01
—
00847
BCBS
—
05
—
100091610C
—
KS
05
—
100091610G
—
KS
05
—
100091610J
—
KS
05
—
10091610E
—
KS
Enumeration date
02/13/2006
Last updated
12/04/2023
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