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
302 N 1ST ST, MOUND CITY, KS 66056-5279
(913) 795-8302
(913) 795-8002
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-9873
(620) 240-5062
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
12/13/2018
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