The Caring Center Of Wichita, Llc | |
714 S Hillside St Wichita KS 67211-3002 | |
(316) 295-4800 | |
(316) 295-4811 |
Full Name | The Caring Center Of Wichita, Llc |
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Speciality | Social Worker |
Location | 714 S Hillside St, Wichita, Kansas |
Authorized Official Name and Position | Amanda Zluticky (BILLING MANAGER) |
Authorized Official Contact | 3162602831 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Caring Center Of Wichita, Llc 714 S Hillside St Wichita KS 67211-3002 Ph: (316) 295-4800 | The Caring Center Of Wichita, Llc 714 S Hillside St Wichita KS 67211-3002 Ph: (316) 295-4800 |
NPI Number | 1205215878 |
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Provider Enumeration Date | 05/28/2015 |
Last Update Date | 02/04/2020 |
Certification Date | 02/04/2020 |
Medicare PECOS PAC ID | 3173837861 |
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Medicare Enrollment ID | O20150810001366 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205215878 | NPI | - | NPPES |
201127650A | Medicaid | KS | |
KA3627 | Other | KS | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Peter J Ninemire |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790933943 PECOS PAC ID: 0941362719 Enrollment ID: I20090105000147 |
Provider Name | Kathleen J Ruth |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154333664 PECOS PAC ID: 8426189770 Enrollment ID: I20100630000219 |
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