Organization
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SPENCER CREITZ (GENERAL COUNSEL)
(620) 240-5015
Entity
Organization
Contact information
Practice address
2322 S MAIN ST, FORT SCOTT, KS 66701-3026
(620) 231-9873
(620) 231-5062
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-9873
(620) 231-5062
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/03/2018
Last updated
04/20/2023
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