Kansas Mobile Healthcare Llc | |
14748 Sw 230th St Douglass KS 67039-8127 | |
(316) 323-1400 | |
(316) 323-1402 |
Full Name | Kansas Mobile Healthcare Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 14748 Sw 230th St, Douglass, Kansas |
Authorized Official Name and Position | Micha Webb (PARTIAL OWNER) |
Authorized Official Contact | 3162497715 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kansas Mobile Healthcare Llc 14748 Sw 230th St Douglass KS 67039-8127 Ph: (316) 323-1400 | Kansas Mobile Healthcare Llc 14748 Sw 230th St Douglass KS 67039-8127 Ph: (316) 323-1400 |
NPI Number | 1215749189 |
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Provider Enumeration Date | 01/27/2025 |
Last Update Date | 01/27/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215749189 | NPI | - | NPPES |
1063801157 | Medicaid | KS | |
1669498010 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |