Mallory E Harris (NPI# 1033519830, PAC ID# 7416177829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033519830 |
| PAC ID by PECOS | 7416177829 |
| Professional Enrollment ID | I20141007002323 |
| Full Name | Mallory E Harris |
| Organization Legal Name | FOUR COUNTY MENTAL HEALTH CENTER, INC. |
| Address |
3751 W Main Independence KS 67301-8446 |
| Phone Number | 6203311748 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012904071 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171383 | WILLIAM NEWTON HOSPITAL |
| 170150 | SOUTH CENTRAL KS MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3751 W Main, Independence, KS 67301-8446 | 6203311748 | FOUR COUNTY MENTAL HEALTH CENTER, INC. |
| Organization Legal Name | FOUR COUNTY MENTAL HEALTH CENTER, INC. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Blaine Williams | Psychiatry | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Linda D Robinette | Nurse Practitioner | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Kelly D Bradford | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Terry A Goodspeed | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Karen Louise Bone | Nurse Practitioner | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Virginia A King | Physician Assistant | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Kathryn K Newman | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Indy M Fairbanks | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Carl L Mitchell | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Amy D Ford | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Street Address |
3751 W MAIN |
| City | INDEPENDENCE |
| State | KS |
| Zip | 67301-8446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Blaine Williams | Psychiatry | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Linda D Robinette | Nurse Practitioner | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Kelly D Bradford | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Terry A Goodspeed | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Karen Louise Bone | Nurse Practitioner | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Virginia A King | Physician Assistant | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Kathryn K Newman | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Indy M Fairbanks | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Carl L Mitchell | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Amy D Ford | Clinical Social Worker | Four County Mental Health Center, Inc. | 3751 W Main, Independence, KS 67301-8446 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Johnson | Chiropractic | 1605 N Penn Ave, Independence, KS 67301-2137 | |
| Julie A Wittum | Physical Therapy | 2125 N Penn Ave, Suite B, Independence, KS 67301-2181 | |
| Barry E Wesselowski | Podiatry | Family Podiatry P.a. | 209 N 6th St, Independence, KS 67301-3100 |
| Jeffrey D Hogge | Podiatry | Family Podiatry P.a. | 209 N 6th St, Independence, KS 67301-3100 |
| Scott A | Chiropractic | Null Chiropractic LLC | 204 E Chestnut, Independence, KS 67301-3132 |
| Logan Alan | Chiropractic | Null Chiropractic LLC | 204 E Chestnut, Independence, KS 67301-3132 |
| Steven Wesley Chapman | Chiropractic | N.b. Management, Inc. | 720 W Laurel St, Independence, KS 67301-3210 |
| Cole William Pasternak | Chiropractic | N.b. Management, Inc. | 720 W Laurel St, Independence, KS 67301-3210 |
| Sarah L Kelley | Optometry | Drs Easter and Kelley Ods Pa | 115 W Laurel St, Independence, KS 67301-3311 |
| Sandra L Easter | Optometry | Drs Easter and Kelley Ods Pa | 115 W Laurel St, Independence, KS 67301-3311 |
| Find all physicians in zip 67301 | |||
| City | INDEPENDENCE |
| Zip Code | 67301 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | INDEPENDENCE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mallory E Harris.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.