| Bridges Healthcare Inc | |
|
313 S. Market Street Wichita KS 67202 | |
| (316) 265-9441 | |
| (316) 265-8657 |
| Full Name | Bridges Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 313 S. Market Street, Wichita, Kansas |
| Authorized Official Name and Position | Victoria Snyder (ADMINISTRATOR) |
| Authorized Official Contact | 3162604409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Healthcare Inc 313 S. Market Street Wichita KS 67202 Ph: (316) 265-9441 | Bridges Healthcare Inc 313 S. Market Street Wichita KS 67202 Ph: (316) 265-9441 |
| NPI Number | 1104397124 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 05/18/2022 |
| Medicare PECOS PAC ID | 6305186180 |
|---|---|
| Medicare Enrollment ID | O20190313002071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104397124 | NPI | - | NPPES |
| 201244330A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tiffany Ann Welk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730109554 PECOS PAC ID: 9830229830 Enrollment ID: I20100618000295 |
| Provider Name | Sean R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174873160 PECOS PAC ID: 5092966150 Enrollment ID: I20121119000421 |
| Provider Name | Daniel J Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114238466 PECOS PAC ID: 9436307626 Enrollment ID: I20130708000728 |
| Provider Name | Amy Jo Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356773816 PECOS PAC ID: 7911136221 Enrollment ID: I20140207001699 |
| Provider Name | Hollie Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508496852 PECOS PAC ID: 5698190080 Enrollment ID: I20200731002753 |
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