NPI:
1780787176
Provider Name:
EL DORADO CLINIC, P.A.
Other Name: EL DORADO CLINIC, P.A., RHC
Classification:
Clinic/Center - 261QR1300X
Entity Type:
Organization
Specialization: Rural Health
CLIA Number: 17D2080178
Address:
700 W CENTRAL AVE
STE 205
EL DORADO, KS
ZIP 67042
Phone:
(316) 321-2010
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EL DORADO CLINIC, P.A. is a rural health clinic center in El Dorado, KS. EL DORADO CLINIC, P.A. NPI is 1780787176. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is El Dorado Clinic, P.a., Rhc.
The provider's business location address is:
700 W CENTRAL AVE
STE 205
EL DORADO, KS
ZIP 67042-184
Phone: (316) 321-2010
Fax: (316) 321-8871
The provider's authorized official is Melissa A Butts .
The authorized official title is Clinic Administrator and has the following contact phone number (316) 321-8850.
The CLIA number assigned to this NPI record is 17D2080178 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 9/7/2006 and was last updated on 2/7/2019.