OrganizationActive
Community Health Center of Southeast Kansas, Inc.
NPI 1013849322 · Federally Qualified Health Center (FQHC) · Independence, KS
Provider details
- NPI number
- 1013849322
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jiawei Montojo, Credentialing Manager(620) 240-5668
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
800 W Laurel St
Independence, KS 67301-3211
Phone: (620) 577-2131
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1832
Pittsburg, KS 66762-1832
Registry dates
- Enumerated
- 2026-06-01
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.