Organization
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA K POSTAI (CEO)
(620) 231-9873
Entity
Organization
Contact information
Practice address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
Mailing address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100456320A
—
KS
01
—
110931
BLUE CROSS BLUE SHIELD
KS
01
—
17-1820
NGS
—
05
—
200099190D
—
OK
01
—
463501
CHILDRENS MERCY FHP
—
05
—
506100304
—
MO
Enumeration date
08/11/2005
Last updated
06/03/2022
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