Organization
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Active
Parent organization
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Authorized official
DANIEL SPENCER CREITZ JD (GENERAL COUNSEL)
(620) 240-5015
Entity
Organization
Contact information
Practice address
101 W SYCAMORE ST, COLUMBUS, KS 66725-1276
(620) 429-2101
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-1960
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KDADS042621J
SUBSTANCE USE AND ADDICTION SERVICES CERTIFICATE
KS
Enumeration date
04/27/2021
Last updated
04/27/2021
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