Organization
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SPENCER CREITZ (COMPLIANCE OFFICER)
(620) 240-5015
Entity
Organization
Contact information
Practice address
312 S MAPLE ST, GARNETT, KS 66032-1333
(888) 777-9170
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
11/18/2022
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