Organization
MERCY KANSAS COMMUNITIES INC
Active
Other names
Cherryvale Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY HUNTER (CFO)
(417) 625-2459
Entity
Organization
Contact information
Practice address
203 W MAIN ST, CHERRYVALE, KS 67335-1332
(620) 336-2132
(620) 336-2237
Mailing address
PO BOX 414, 203 WEST MAIN STREET, CHERRYVALE, KS 67335-0414
(620) 336-2132
(620) 336-2237
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
1500335
KS
363AM0700X
Medical Physician Assistant
1500335
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089300I
—
KS
Enumeration date
08/31/2006
Last updated
09/25/2015
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