Organization
HASKELL INDIAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LOWE PHARMD (ADMINISTRATIVE OFFICER)
(785) 832-4821
Entity
Organization
Contact information
Practice address
2415 MASSACHUSETTS ST, LAWRENCE, KS 66046-4827
(785) 832-4819
(785) 832-4887
Mailing address
2415 MASSACHUSETTS ST, LAWRENCE, KS 66046-4827
(785) 832-4819
(785) 832-4887
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100643210A
—
KS
Enumeration date
03/05/2007
Last updated
07/22/2021
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