COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC. (NPI# 1558830182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558830182 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC. |
| Practice Address |
302 N 1st St Mound City KS 66056-5279 |
| Mailing Address |
Po Box 1832 Pittsburg KS 66762-1832 |
| Practice Telephone | 9137958302 |
| Practice Fax Number | 9137958002 |
| Mailing Telephone | 6202319873 |
| Mailing Fax Number | 6202405062 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-12-13 |
| 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 |
302 N 1ST ST |
| City | MOUND CITY |
| State | KS |
| Zip Code | 66056-5279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447231717 | Jay Allen | Family Medicine | 302 N 1st St, Mound City, KS 66056-5279 | 2005-11-14 |
| 1518463793 | Miami County Medical Center Inc. | Clinic/Center | 302 N 1st St, Mound City, KS 66056-5279 | 2018-04-05 |
| 1932576642 | Kelsey Welch | Nurse Practitioner | 302 N 1st St, Mound City, KS 66056-5279 | 2015-08-28 |
| 1396996856 | Olathe Health Physicians, Inc. | Clinic/Center | 302 N 1st St, Mound City, KS 66056-5279 | 2008-10-02 |
| 1841265667 | Charles Eric Schroeder | Internal Medicine | 302 N 1st St, Mound City, KS 66056-5279 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710967617 | Narinder K Verma | Dentist | 513 Main St, Mound City, KS 66056-4001 | 2006-01-18 |
| 1235332693 | Kendra Lee Peery | Physical Therapy Assistant | 811 Locust St, Mound City, KS 66056-5253 | 2007-06-05 |
| 1548493802 | Jayhawk Usd346 | Local Education Agency (LEA) | 414 S 5th St, Mound City, KS 66056-5415 | 2009-09-02 |
| 1215986203 | Melody Ann Leavitt | Social Worker | 506 1/2 Main St, Mound City, KS 66056-6254 | 2006-05-08 |
| 1568028421 | Kenneth L Asher | Pharmacist | 625 Main St, Mound City, KS 66056-9100 | 2019-05-16 |
| 1508332891 | Auburn Pharmacy, Inc. | Pharmacy | 625 Main St, Mound City, KS 66056-9100 | 2018-10-15 |
| 1770913998 | Aleasha Rae Boice | Pharmacist | 625 Main St, Mound City, KS 66056-9100 | 2013-11-25 |
| 1720014459 | Auburn Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 625 Main St, Mound City, KS 66056-9100 | 2006-06-24 |
| 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 |
|---|---|---|---|---|
| 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 | MOUND CITY |
| Zip Code | 66056 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC..
| 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.