COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC (NPI# 1174525943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174525943 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC |
Practice Address |
924 N Broadway St Pittsburg KS 66762-3910 |
Mailing Address |
3011 N Michigan St Pittsburg KS 66762-2546 |
Practice Telephone | 6202316788 |
Practice Fax Number | 6202312331 |
Mailing Telephone | 6202319873 |
Mailing Fax Number | 6202312808 |
Enumeration Date | 2005-08-11 |
Last Update Date | 2014-03-14 |
Authorized Official Name | KRISTA K POSTAI (CEO) |
Authorized Official Telephone | 6202319873 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100456340A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487939773 | Community Health Center of Southeast Kansas, Inc | Clinic/Center | 102 S Cline, Coffeyville, KS 67337-3022 | 2011-10-18 |
1811999683 | Community Health Center of Southeast Kansas, Inc | Clinic/Center | 401 E Mckay St, Frontenac, KS 66763-2244 | 2005-08-11 |
1639642820 | Community Health Center of Southeast Kansas, Inc | Pharmacy | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2019-01-10 |
1225577786 | Community Health Center of Southeast Kansas, Inc | Clinic/Center | 1106 S 9th St, Humboldt, KS 66748-1934 | 2017-02-16 |
1902259757 | Community Health Center of Southeast Kansas, Inc | Clinic/Center | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2016-07-18 |
1669858973 | Community Health Center of Southeast Kansas, Inc | Clinic/Center | 2100 Commerce Dr, Parsons, KS 67357-4951 | 2015-08-10 |
1801208053 | Community Health Center of Southeast Kansas, Inc | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2014-05-22 |
Street Address |
924 N BROADWAY ST |
City | PITTSBURG |
State | KS |
Zip Code | 66762-3910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013578889 | Matthew S Stiles | Dentist | 924 N Broadway St, Pittsburg, KS 66762-3910 | 2019-06-24 |
1922553940 | Benjamin D Rosenberg Dds Inc | Dentist | 924 N Broadway St, B, Pittsburg, KS 66762-3910 | 2016-08-19 |
1104223213 | Dana Noe | Dental Hygienist | 924 N Broadway St, Pittsburg, KS 66762-3910 | 2014-12-04 |
1255746806 | Anne Marie Schmidt | Dentist | 924 N Broadway St, Pittsburg, KS 66762 | 2014-06-23 |
1346665049 | Andrew E Hinojosa | Dentist | 924 N Broadway St, Pittsburg, KS 66762-3910 | 2014-03-04 |
1558795815 | Alison D Harper | Dental Hygienist | 924 N Broadway St, Pittsburg, KS 66762-3910 | 2013-08-22 |
1851725113 | Kimberlyn S Fowler | Dental Hygienist | 924 N Broadway St, Pittsburg, KS 66762-3910 | 2013-08-22 |
1184058455 | Marie G Youvan | Dental Hygienist | 924 N Broadway St, Pittsburg, KS 66762-3910 | 2013-08-22 |
1447698733 | Shannon D White | Dentist | 924 N Broadway St, Pittsburg, KS 66762-3910 | 2013-06-07 |
1306146386 | Timothy P Crawford | Dentist | 924 N Broadway St, Pittsburg, KS 66762-3910 | 2010-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
Find all providers in zip 66762 |
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 |
---|---|---|---|---|
1801984323 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 3108 N Michigan St, Pittsburg, KS 66762-2526 | 2006-10-10 |
1447229331 | Community Health Center of Southeast Kanas, Inc. | Clinic/Center | 3101 N Michigan St, Building C, Pittsburg, KS 66762-2545 | 2006-03-14 |
1427677723 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 1011 S Mount Carmel Pl, Pittsburg, KS 66762-6604 | 2020-04-16 |
1710536966 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 1978 E 4th St, Pittsburg, KS 66762-9100 | 2019-09-10 |
1568540763 | Contra Costa County | Clinic/Center | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2006-11-02 |
1669474425 | Community Health Center of Southeast Kansas Inc | Clinic/Center | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2005-08-11 |
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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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.