COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC; NPI #1669474425

Contact Information

COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC

3011 N MICHIGAN ST
PITTSBURG, KS 66762-2546

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
Non-emergency Medical Transport (VAN)	343900000X

Indicates primary specialty

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

NPI # 1669474425

LBN Legal business name COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC

Authorized official KRISTA POSTAI - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/11/2005

Last updated 06/03/2022 - About 4 years ago

Identifiers

KS	Medicaid	100456320A
MO	Medicaid	506100304
OK	Medicaid	200099190D
	Other	463501	CHILDRENS MERCY FHP
	Other	17-1820	NGS
KS	Other	110931	BLUE CROSS BLUE SHIELD

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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