NPI 1003499708
Community Health Center of Southeast Kansas, INC.
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
Federally Qualified Health Center (FQHC)
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.