| Clifton Family Medicine Llc | |
|
201 S Hillside St Wichita KS 67211-2128 | |
| (316) 682-6551 | |
| (316) 682-8151 |
| Full Name | Clifton Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 S Hillside St, Wichita, Kansas |
| Authorized Official Name and Position | James Andrew Hild (OWNER) |
| Authorized Official Contact | 3166826551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifton Family Medicine Llc 201 S Hillside St Wichita KS 67211-2128 Ph: (316) 682-6551 | Clifton Family Medicine Llc 201 S Hillside St Wichita KS 67211-2128 Ph: (316) 682-6551 |
| NPI Number | 1710292420 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 03/30/2021 |
| Medicare PECOS PAC ID | 4385837293 |
|---|---|
| Medicare Enrollment ID | O20101025000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710292420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-31083 (Kansas) | Primary |
| Provider Name | James A Hild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306886957 PECOS PAC ID: 9335193499 Enrollment ID: I20050310001004 |
| Provider Name | Mueeza Zafar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023071867 PECOS PAC ID: 8325080740 Enrollment ID: I20050525001175 |
| Provider Name | Tabitha Balderas De Katunzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356719678 PECOS PAC ID: 1153621412 Enrollment ID: I20151118002902 |
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