COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.


Address: 11155 Tucker Rd, Pleasanton, KS 66075-8401
Phone: 6202319873

COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC. (NPI# 1063997377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063997377
Entity Type Organization
Organization Name COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Practice Address 11155 Tucker Rd
Pleasanton
KS 66075-8401
Mailing Address 3011 N Michigan St
Pittsburg
KS 66762-2546
Practice Telephone 6202319873
Mailing Telephone 6202319873
Mailing Fax Number 6202315062
Enumeration Date 2018-10-02
Last Update Date 2018-10-02
Authorized Official Name DANIEL SPENCER CREITZ (GENERAL COUNSEL)
Authorized Official Telephone 6202405015
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013567940 Community Health Center of Southeast Kansas, Inc. Clinic/Center 7 S 1st St, Wyandotte, OK 74370-2268 2019-09-12
1346733714 Community Health Center of Southeast Kansas, Inc. Pharmacy 2051 N. State St, Iola, KS 66749 2018-06-11
1801984323 Community Health Center of Southeast Kansas, Inc. Clinic/Center 3108 N Michigan St, Pittsburg, KS 66762-2526 2006-10-10
1740881689 Community Health Center of Southeast Kansas, Inc. Pharmacy 1011 S Mount Carmel Pl, Pittsburg, KS 66762-6604 2020-11-06
1427677723 Community Health Center of Southeast Kansas, Inc. Clinic/Center 1011 S Mount Carmel Pl, Pittsburg, KS 66762-6604 2020-04-16
1548895378 Community Health Center of Southeast Kansas, Inc. Pharmacy 11155 Tucker Rd, Pleasanton, KS 66075-8401 2020-03-12
1568094662 Community Health Center of Southeast Kansas, Inc. Pharmacy 101 W Sycamore St, Columbus, KS 66725-1276 2020-02-06
1881245108 Community Health Center of Southeast Kansas, Inc. Pharmacy 11155 Tucker Rd, Pleasanton, KS 66075-8401 2019-09-27
1386294213 Community Health Center of Southeast Kansas, Inc. Clinic/Center 10 S Treaty Rd, Miami, OK 74354-5330 2019-09-12
1710536966 Community Health Center of Southeast Kansas, Inc. Clinic/Center 1978 E 4th St, Pittsburg, KS 66762-9100 2019-09-10

Office Location

Street Address 11155 TUCKER RD
City PLEASANTON
State KS
Zip Code 66075-8401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942361696 Mercy Kansas Communities Inc Clinic/Center 11155 Tucker Rd, Pleasanton, KS 66075-8401 2006-12-13
1548895378 Community Health Center of Southeast Kansas, Inc. Pharmacy 11155 Tucker Rd, Pleasanton, KS 66075-8401 2020-03-12
1881245108 Community Health Center of Southeast Kansas, Inc. Pharmacy 11155 Tucker Rd, Pleasanton, KS 66075-8401 2019-09-27
1417446352 Bradley P Young Nurse Practitioner 11155 Tucker Rd, Pleasanton, KS 66075-8401 2018-05-07
1275860876 Kristyn D Milburn Nurse Practitioner 11155 Tucker Rd, Pleasanton, KS 66075-8401 2009-11-03
1972665594 Rhonda Kellstadt Nurse Practitioner 11155 Tucker Rd, Pleasanton, KS 66075-8401 2006-12-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982867230 Mercy Hospital of Kansas Inc Non-Pharmacy Dispensing Site 9th & Main, Pleasanton, KS 66075 2008-07-08
1740368489 Douglas Maschino Pharmacist 20620 E 600 Rd, Pleasanton, KS 66075 2006-11-01
1467558676 Chase R Carpenter Chiropractor 714 Main, Pleasanton, KS 66075 2006-09-15
1407899115 Michael C Knierim Dentist 805 Main, Pleasanton, KS 66075 2006-06-13
1811027857 The Residencies At Pleasanton Assisted Living Facility 706 West 15th Street, #418, Pleasanton, KS 66075-0418 2007-03-07
1992874630 Maschino Drug Company Inc Pharmacy 1012 Main, Pleasanton, KS 66075-0500 2006-11-07
1912130279 Pleasanton Usd 344 Local Education Agency (LEA) 309 W 13th St, Pleasanton, KS 66075-4060 2009-09-02
1063568897 County of Linn Public Health or Welfare 902 Main St, P.0.box 456, Pleasanton, KS 66075-4078 2007-01-26
1841238243 Cynthia (cindy) Dean Larson Nurse Practitioner 900 Main St, Pleasanton, KS 66075-4078 2006-06-04
1205225802 Nicole Shaddix-olsen Counselor 806 W 15th St, Pleasanton, KS 66075-4089 2015-01-20
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336366509 Axis Community Health Inc Clinic/Center 4361 Railroad Ave, Pleasanton, CA 94566-6611 2007-04-19
1376760546 Axis Community Health Inc Clinic/Center 4361 Railroad Ave, Pleasanton, CA 94566-6611 2007-04-19
1750364998 Atascosa Health Center, Inc. Clinic/Center 310 W Oaklawn Rd, Pleasanton, TX 78064-4033 2005-11-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235773714 Health Partnership Clinic, Inc. Clinic/Center 14545 W 127th St, Olathe, KS 66062-1486 2019-10-29
1235794710 Turner House Clinic Inc Clinic/Center 2501 Minnesota Ave, Kansas City, KS 66102-4021 2019-05-09
1730669664 Turner House Clinic Inc Clinic/Center 2123 Ruby Ave, Kansas City, KS 66106 2018-08-20
1942718945 Health Partnership Clinic, Inc. Clinic/Center 6100 Mastin St, Merriam, KS 66203-3252 2018-01-12
1225552342 Flint Hills Community Health Center, Inc Clinic/Center 1500 Sw Boulevard, Madison, KS 66860-8054 2017-07-31
1609224658 United Methodist Western Kansas Mexican-american Ministries, Inc. Clinic/Center 113a S Main St, Ulysses, KS 67880-2519 2016-06-01
1932579513 Gracemed Health Clinic, Inc Clinic/Center 755 W. Lincoln St, Wichita, KS 67213 2015-09-25
1548636665 First Care Clinic, Inc. Clinic/Center 208 Marc Wagner Dr, Victoria, KS 67671-9589 2015-08-12
1992113898 Gracemed Health Clinic, Inc Clinic/Center 5000 S Clifton Ave Ste 200, Wichita, KS 67216-3408 2014-07-24
1043646870 Gracemed Downing Children Clinic Clinic/Center 2201 E 25th St N, Building 200, Wichita, KS 67219-4714 2013-09-25
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Competitor

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City PLEASANTON
Zip Code 66075

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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