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Contact Information

COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
11155 TUCKER RD
PLEASANTON, KS66075-8401
 Phone: 620-231-9873
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.

NPI # 1063997377
LBN Legal business name COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Authorized official DANIEL CREITZ - (GENERAL COUNSEL)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2018
Last updated 10/02/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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