Organization Name: | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC |
NPI Number: | 1487939773 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTA POSTAI (CEO) |
Mailing Address: | 102 S Cline Coffeyville |
State: | KS US |
Postal Code: | 673373022 |
Phone Number: | 6202526989 |
Fax Number: | 6202513691 |
NPI Enumeration Date: | 10/18/2011 |
NPI Last Update Date: | 07/02/2012 |
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: |