National Provider Identifier Database

COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
Rehabilitation, Substance Use Disorder


Contact Information

COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
2322 S MAIN ST
FORT SCOTT, KS66701-3026
Phone: 620-223-8040
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

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

NPI Number 1003499708
Legal business name
LBN
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Authorized official DANIEL CREITZ - (SENIOR VP, CHIEF COMPLIANCE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 04/30/2021
Last updated 12/30/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • KS Medicaid: 30003958250054
  • KS Other: KDADS033021H SUBSTANCE USE AND ADDICTIONS SERVICES CERTIFICATE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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