| Organization Name: | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC. |
| NPI Number: | 1063844629 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTA K POSTAI (CEO) |
| Mailing Address: | 1110 W 8th St Coffeyville |
| State: | KS US |
| Postal Code: | 673374116 |
| Phone Number: | 6202521798 |
| Fax Number: | 6202521799 |
| NPI Enumeration Date: | 08/06/2013 |
| NPI Last Update Date: | 09/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |