17D1064340 CLIA NUMBER - SOUTHEAST KANSAS HEALTH CARE

Laboratory Demographics

CLIA Number: 17D1064340

Facility Name: SOUTHEAST KANSAS HEALTH CARE

Facility Address:
1411 WEST 4TH, BUILDING C
COFFEYVILLE, KS
ZIP 67337
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Facility Phone Number: 620 251-2400

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1184736563

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	17D1064340
LAB Type	Physician Office
Facility Name	SOUTHEAST KANSAS HEALTH CARE
Street	1411 WEST 4TH, BUILDING C
City	COFFEYVILLE
State	KS
ZIP	67337
Phone	620 251-2400
CertificateType	3
CertificateEffectiveDate	2/2/2023
CertificateExpirationDate	2/1/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024