El Dorado Clinic, P.A., Rhc

LBN: El Dorado Clinic, P.A.
El Dorado Clinic, P.A., Rhc is an health care organization with primary practice located at 700 W Central Ave Ste 205, El Dorado KS 67042-2184. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. El Dorado Clinic, P.A. can be contacted via phone (316) 321-2010, or through Butts, Melissa A via phone (316) 321-8850.

Contact Information

Primary practice address
700 W Central Ave Ste 205 El Dorado KS 67042-2184
Phone: (316) 321-2010
Fax: (316) 321-8871
Website:
Map and Directions
Authorized official contact:
Name: Butts, Melissa A
Phone: (316) 321-8850

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1780787176
LBN Legal business name El Dorado Clinic, P.A.
DBA Doing business as El Dorado Clinic, P.A., Rhc
Authorized official Butts, Melissa A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Feb 7th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780787176 NPPES
Kansas MEDICAID 100213650B
Kansas Other 001172

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