C&S Medical Clinic Pa
LBN: C&S Medical Clinic Pa
C&S Medical Clinic Pa is an health care organization with primary practice located at 2200 Summerlon Circle Suite A, Dodge City KS 67801-2905. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
C&S Medical Clinic Pa can be contacted via phone (620) 408-9700, or through Sandoval, Chris via phone (620) 408-9700.
Contact Information
Primary practice address
2200 Summerlon Circle Suite A
Dodge City KS 67801-2905
Phone: (620) 408-9700
Fax: (620) 408-9701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1265487359 |
|---|---|
| LBN Legal business name | C&S Medical Clinic Pa |
| DBA Doing business as | |
| Authorized official | Sandoval, Chris |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Feb 15th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265487359 | NPPES |
| Kansas | MEDICAID | 100451610A |
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