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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
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 |
Street Address |
11155 TUCKER RD |
City | PLEASANTON |
State | KS |
Zip Code | 66075-8401 |
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 |
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 |
Find all providers in zip 66075 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | PLEASANTON |
Zip Code | 66075 |
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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.