Organization
SUMNER COUNTY FAMILY CARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DAWSON (OFFICE MANAGER)
(620) 326-3301
Entity
Organization
Contact information
Practice address
507 E 16TH ST, STE 1, WELLINGTON, KS 67152-2828
(620) 326-3301
Mailing address
507 E 16TH ST, STE 1, WELLINGTON, KS 67152-2828
(620) 326-3301
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088130A
—
KS
05
—
100088130D
—
KS
01
—
173819
MEDICARE RHC
KS
01
—
2806
COVENTRY
KS
01
—
3840
BCBS
KS
01
—
463545 (RHC)
CMFHP
KS
01
—
CS5682
RAILROAD MEDICARE
KS
Enumeration date
02/29/2008
Last updated
05/08/2020
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