COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC (NPI# 1801208053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801208053 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC |
| Other Organization Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS/FOUR COUNTY MENTAL HEALTH |
| Practice Address |
3751 W Main St Independence KS 67301-8446 |
| Mailing Address |
3011 N Michigan St Pittsburg KS 66762-2546 |
| Practice Telephone | 6202311748 |
| Practice Fax Number | 6203321940 |
| Mailing Telephone | 6202319873 |
| Mailing Fax Number | 6202312808 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-07-01 |
| 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 |
| Other Name | Type Code |
|---|---|
| COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS/FOUR COUNTY MENTAL HEALTH | Doing Business As Name - Organization |
| 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 |
| 1174525943 | Community Health Center of Southeast Kansas, Inc | Clinic/Center | 924 N Broadway St, Pittsburg, KS 66762-3910 | 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 |
| Street Address |
3751 W MAIN ST |
| City | INDEPENDENCE |
| State | KS |
| Zip Code | 67301-8446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290251 | Four County Mental Health Center Inc | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2005-07-28 |
| 1417554080 | Lauren Mautz | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2020-10-06 |
| 1437766946 | Hernan Ensaldo Diaz | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2020-09-29 |
| 1861008633 | Rhyder Bruce | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2020-09-17 |
| 1083257943 | Rachel Whitmore | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2019-10-23 |
| 1619522851 | Kimberly Kennedy | Counselor | 3751 W Main St, Independence, KS 67301-8446 | 2019-08-05 |
| 1497315055 | Kendra Alford | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2019-06-17 |
| 1306327572 | Christina Tinsley | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2018-08-27 |
| 1083195309 | Meegan Dodson | Registered Nurse | 3751 W Main St, Independence, KS 67301-8446 | 2018-08-24 |
| 1649767112 | Rachael Dawn Miles | Counselor | 3751 W Main St, Independence, KS 67301 | 2018-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1801180070 | Jeffrey Neil Carnes | Counselor | 1101 Donald Avenue, Independence, KS 67301 | 2011-06-06 |
| 1699099077 | Four County Mental Health Center | Home Health | 415 Fruitland, Independence, KS 67301 | 2010-03-15 |
| 1558570234 | Rahab M Nduati | Occupational Therapist | 1000 W Mulberry Street, Independence, KS 67301 | 2007-05-21 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| 1699836650 | Dacia Christine Thiele | Social Worker | 200 Arco Suite 501, Independence, KS 67301 | 2006-12-13 |
| 1134157167 | Carl L Mitchell Jr. | Social Worker | 220 E. Chestnut, Independence, KS 67301 | 2006-06-29 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1811205214 | Johnathan A Rodriquez | Nurse Practitioner | 1415 N Penn Ave, Independence, KS 67301 | 2010-09-20 |
| Find all providers in zip 67301 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1043668783 | Southeast Community Health Systems | Clinic/Center | 55420 N. Railroad Avenue, Independence, LA 70443 | 2016-06-02 |
| 1053749739 | Southeast Community Health Systems | Clinic/Center | 336 East Railroad Avenue, Independence, LA 70443 | 2013-10-16 |
| 1083914105 | Swope Health Services | Clinic/Center | 17844 East 23rd Street, Independence, MO 64057-1840 | 2010-10-22 |
| 1477648327 | Swope Health Services | Clinic/Center | 11320 E Truman Rd, Independence, MO 64050-2564 | 2006-10-04 |
| 1184615726 | Multipractice Clinic | Clinic/Center | 281 W 4th St, Independence, LA 70443-2386 | 2005-11-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 67301 |
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.