| Healing Waters Wichita Lc | |
|
2000 N Rock Rd Suite 100 Wichita KS 67206-1201 | |
| (316) 262-2995 | |
| (316) 262-2546 |
| Full Name | Healing Waters Wichita Lc |
|---|---|
| Speciality | General Practice |
| Location | 2000 N Rock Rd, Wichita, Kansas |
| Authorized Official Name and Position | Amanda Gorecki (PRESIDENT) |
| Authorized Official Contact | 3162622995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Waters Wichita Lc 33 Buford Village Way Suite 325 Buford GA 30518-8843 Ph: (678) 730-7780 | Healing Waters Wichita Lc 2000 N Rock Rd Suite 100 Wichita KS 67206-1201 Ph: (316) 262-2995 |
| NPI Number | 1407144058 |
|---|---|
| Provider Enumeration Date | 07/18/2011 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407144058 | NPI | - | NPPES |
| 200468790A | Medicaid | OK | |
| 201097690A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Form Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Douglas Ave Fl 2, Wichita, KS 67202 Phone: 617-505-1520 | |
Primary Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7111 E 21st St N Ste A, Wichita, KS 67206 Phone: 316-684-2851 | |
Substance Abuse At Hunter Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2318 E Central Ave, Wichita, KS 67214 Phone: 316-262-3611 Fax: 316-262-0741 | |
Freestate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4723 E Douglas Ave, Wichita, KS 67218 Phone: 888-505-1776 Fax: 888-505-1776 | |
Centerwell Senior Primary Care (ks) Pa - Parklane Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 961 S Glendale St, Wichita, KS 67218 Phone: 316-618-9555 | |
Robert A Sweet Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 N Cypress Dr, Suite 100, Wichita, KS 67226 Phone: 316-260-4747 | |
World Impact, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 E 13th St N, #400, Wichita, KS 67208 Phone: 316-682-1880 |