COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC. (NPI# 1013567940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013567940 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC. |
Practice Address |
7 S 1st St Wyandotte OK 74370-2268 |
Mailing Address |
3011 N Michigan St Pittsburg KS 66762-2546 |
Practice Telephone | 6202319873 |
Mailing Telephone | 6202319873 |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-09-12 |
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 |
---|---|---|---|---|
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 |
1558830182 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 302 N 1st St, Mound City, KS 66056-5279 | 2018-11-13 |
Street Address |
7 S 1ST ST |
City | WYANDOTTE |
State | OK |
Zip Code | 74370-2268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265083380 | Modoc Tribe of Oklahoma | Clinic/Center | 10025 South 705 Road, Wyandotte, OK 74370 | 2019-09-20 |
1124185517 | Wyandotte Nation | Family Medicine | 1 Turtle Drive, Wyandotte, OK 74370 | 2007-01-03 |
1295778447 | Wyandotte School | Speech-Language Pathologist | First & School St, Wyandotte, OK 74370-0360 | 2006-06-14 |
1033462593 | Wyandotte Nation | Pharmacy | 1 Turtle Dr, Wyandotte, OK 74370-2114 | 2012-10-22 |
1326476938 | Deana Gayle Sweatt | Pharmacist | 1 Turtle Dr, Bearskin Health Clinic Pharmacy, Wyandotte, OK 74370-2114 | 2013-10-16 |
1114122041 | Jill Roberts | Counselor | 69999 E 152 Rd, Wyandotte, OK 74370-2224 | 2007-06-20 |
1750580577 | Turkey Ford School | Local Education Agency (LEA) | 23900 S 670 Rd, Wyandotte, OK 74370-3013 | 2007-07-12 |
1295186203 | Deborah K Capshaw | Nurse Practitioner | 11151 S 689 Rd, Wyandotte, OK 74370-9504 | 2016-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161600 | Tiffini Ann Jones | Registered Nurse | 3624 8th St, Wyandotte, MI 48192-6509 | 2020-10-12 |
1831706746 | Micka Sestito | Massage Therapist | 3323 Biddle Ave, Wyandotte, MI 48192-6201 | 2020-09-24 |
1801405345 | Jason J Hanna | Counselor | 3301 Biddle Ave Apt P3, Wyandotte, MI 48192-6281 | 2020-07-30 |
1487271649 | Ashley Meade-caplinger | Technician | 2328 7th St, Wyandotte, MI 48192-4316 | 2020-07-02 |
1487279964 | Lindsay Mieden | Counselor | 2218 Biddle Ave, Wyandotte, MI 48192-4649 | 2020-06-10 |
1427696012 | Pharmacy Services Downriver LLC | Pharmacy | 2329 Eureka Rd, Wyandotte, MI 48192-6020 | 2019-12-15 |
1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
1265083380 | Modoc Tribe of Oklahoma | Clinic/Center | 10025 South 705 Road, Wyandotte, OK 74370 | 2019-09-20 |
1437716958 | Apollo Pharmacy of Wyandotte, Inc | Pharmacy | 2000 Eureka Rd, Wyandotte, MI 48192-6004 | 2019-05-20 |
1942763164 | Karie Lynn Llewellyn | Registered Nurse | 2836 20th St, Wyandotte, MI 48192-4809 | 2019-04-14 |
Find all providers in WYANDOTTE |
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 |
---|---|---|---|---|
1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
1184286726 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 302 W Smith Street, Stratford, OK 74872-4648 | 2019-07-03 |
1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
1568976991 | Arkansas Verdigris Valley Health Centers,inc. | Clinic/Center | 201 North 32nd Street, Muskogee, OK 74401-2104 | 2017-11-21 |
1164941670 | Community Health Center of Northeast Oklahoma | Clinic/Center | 343 S. Commercial Street, Welch, OK 74369 | 2017-09-15 |
Find all providers with the same taxonomy |
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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.