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
500 OSA MARTIN BLVD, CHANUTE, KS 66720-1855
(620) 432-2560
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 240-5668
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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