Four County Mental Health Center, Inc. | |
3354 Highway 160 Independence KS 67301-7841 | |
(620) 331-1748 | |
(620) 332-1940 |
Full Name | Four County Mental Health Center, Inc. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3354 Highway 160, Independence, Kansas |
Authorized Official Name and Position | Jodi L. Mason (DIRECTOR BUSINESS OPERATIONS) |
Authorized Official Contact | 6203311748 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Four County Mental Health Center, Inc. Po Box 688 Independence KS 67301-0688 Ph: (620) 331-1748 | Four County Mental Health Center, Inc. 3354 Highway 160 Independence KS 67301-7841 Ph: (620) 331-1748 |
NPI Number | 1033288535 |
---|---|
Provider Enumeration Date | 11/07/2006 |
Last Update Date | 09/30/2022 |
Certification Date | 09/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033288535 | NPI | - | NPPES |
100097980D | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Kansas) | Primary |
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