Organization
COMMUNITY HEALTH CENTER OF SOUTHEAST KANAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SPENCER CREITZ (SENIOR VP, CHIEF COMPLIANCE OFFICER)
(620) 240-5015
Entity
Organization
Contact information
Practice address
924 N BROADWAY ST, PITTSBURG, KS 66762-3910
(855) 222-1505
Mailing address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
(620) 240-5062
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
08/27/2024
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