| Abundant Care And Wellness | |
|
305 N Meridian Rd Newton KS 67114-5103 | |
| (316) 587-5337 | |
| Not Available |
| Full Name | Abundant Care And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 305 N Meridian Rd, Newton, Kansas |
| Authorized Official Name and Position | Jessica Powell (APRN) |
| Authorized Official Contact | 3165875337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Care And Wellness 107 Brookside Dr Newton KS 67114-4609 Ph: (316) 587-5337 | Abundant Care And Wellness 305 N Meridian Rd Newton KS 67114-5103 Ph: (316) 587-5337 |
| NPI Number | 1346967841 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 12/10/2022 |
| Medicare PECOS PAC ID | 2466821723 |
|---|---|
| Medicare Enrollment ID | O20221207003157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346967841 | NPI | - | NPPES |
| 200734460D | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Jessica E Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174856736 PECOS PAC ID: 5991844011 Enrollment ID: I20091203000312 |
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