COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC (NPI# 1669474425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669474425 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC |
| Practice Address |
3011 N Michigan St Pittsburg KS 66762-2546 |
| Practice Telephone | 6202319873 |
| Mailing Telephone | 6202319873 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2012-02-25 |
| 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 |
|---|---|---|---|
| NGS | 17-1820 | 01 | |
| OK | 200099190D | 05 | |
| KS | 100456320A | 05 | |
| MO | 506100304 | 05 | |
| KS | BLUE CROSS BLUE SHIELD | 110931 | 01 |
| CHILDRENS MERCY FHP | 463501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649557281 | Community Health Center of Southeast Kansas Inc | Clinic/Center | 801 W 8th St, Coffeyville, KS 67337-4109 | 2011-11-10 |
| Street Address |
3011 N MICHIGAN ST |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777425 | Cheryl A Rajotte | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2005-08-11 |
| 1164031936 | Danielle M Bennett | Registered Nurse | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2020-07-28 |
| 1275141434 | Michael Garza | Psychologist | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2020-07-14 |
| 1295350049 | Building Health Inc. | Clinic/Center | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2020-06-08 |
| 1255978631 | Crystal Merriman | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-12-05 |
| 1700422490 | Lorraine Kathleen Lorentz | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-11-18 |
| 1285270926 | Mallory Garza | Psychologist | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-11-18 |
| 1336791334 | Kristen R Simmons | Social Worker | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-07-10 |
| 1407417165 | Samantha K Simpson | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-06-24 |
| 1003379629 | Tracy M Orellana | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-04-10 |
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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 |
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| 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 |
| 1174525943 | Community Health Center of Southeast Kansas, Inc | Clinic/Center | 924 N Broadway St, Pittsburg, KS 66762-3910 | 2005-08-11 |
| 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 |
| 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.