Whalio Doctors

NPI 1003499708

Community Health Center of Southeast Kansas, INC.

Organisation Substance Use Disorder Rehabilitation Clinic/Center Fort Scott, KS

Practice location

Address
2322 S Main St, Fort Scott, KS 66701-3026
Phone
(620) 223-8040
Mailing address
PO Box 1832, Pittsburg, KS 66762-1832

Authorised official

Name
Daniel Spencer Creitz
Title
Senior Vp, Chief Compliance Officer
Phone
(620) 240-5015

Registered specialties (2)

Substance Use Disorder Rehabilitation Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QR0405X
Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities Taxonomy 261QF0400X

Registry record

NPI
1003499708
Entity type
Organization
NPI issued
30 Apr 2021
Record last updated
30 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.