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
2990 MILITARY AVE, BAXTER SPRINGS, KS 66713-2331
(620) 856-2900
(620) 856-2901
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-9873
(620) 231-2808
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100456320V
—
KS
01
—
110931
MEDICARE PART B
KS
01
—
17-1838
MEDICARE PART A
KS
01
—
1932414224
BCBS KS
KS
05
—
1932414224
—
MO
05
—
200099190E
—
OK
Enumeration date
08/11/2010
Last updated
02/08/2012
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