| C&s Medical Clinic Pa | |
|
2200 Summerlon Circle Suite A Dodge City KS 67801-2905 | |
| (620) 408-9700 | |
| (620) 408-9701 |
| Full Name | C&s Medical Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2200 Summerlon Circle, Dodge City, Kansas |
| Authorized Official Name and Position | Chris Sandoval (OFFICE MANAGER) |
| Authorized Official Contact | 6204089700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C&s Medical Clinic Pa 2200 Summerlon Circle Suite A Dodge City KS 67801-2905 Ph: (620) 408-9700 | C&s Medical Clinic Pa 2200 Summerlon Circle Suite A Dodge City KS 67801-2905 Ph: (620) 408-9700 |
| NPI Number | 1265487359 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265487359 | NPI | - | NPPES |
| 100451610A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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› Verified 8 days ago
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