Organization
S. W. HAAG, P.C.
Active
Other names
Chetopa Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY W HAAG M.D. (OWNER)
(620) 236-7322
Entity
Organization
Contact information
Practice address
507 MAPLE ST, CHETOPA, KS 67336-9192
(620) 236-7322
(620) 236-7323
Mailing address
507 MAPLE ST, CHETOPA, KS 67336-9192
(620) 236-7322
(620) 236-7323
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0425012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465790
—
KS
Enumeration date
03/27/2007
Last updated
08/22/2020
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