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Olathe Community Clinic Inc

Olathe Community Clinic Inc is a health care provider in Olathe, CO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 308 Main Street, Olathe, CO 81425, US
Practice Location Phone970-323-6141
Practice Location Fax970-323-6117
Legal Business NameOLATHE COMMUNITY CLINIC INC
NPI ?1770834244
Entity TypeOrganization
Enumeration Date ? Sep 25, 2012
Last Update Date ? Jun 10, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Olathe Community Clinic Inc

SpecialtySpecializationLicenseLicense State
Family Medicine
Obstetrics & Gynecology
Clinic/CenterMulti-Specialty
Clinic/CenterFederally Qualified Health Center (FQHC)

legacy-id-icon Legacy Provider IDs of Olathe Community Clinic Inc

Provider IdIssuer StateIssuer TypeIssuer
619803300ColoradoOtherDEPT OF LABOR, MONTROSE ONLY
DU5283ColoradoOtherRAILROAD WORKERS MEDICARE
061930ColoradoOtherMEDICARE A PTAN
294943ColoradoOtherMEDICARE B PTAN
617703000ColoradoOtherDEPT OF LABOR, OLATHE ONLY
OLATHE ONLY: 9890527ColoradoMedicaid

official-icon Authorized Official of Olathe Community Clinic Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Olathe Community Clinic Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Debra Zarkis
Authorized Official Title/PositionCEO
Authorized Official Phone Number970-323-6141