| New Medical Health Care Llc | |
|
2131 N Ridge Rd Wichita KS 67212-1570 | |
| (316) 773-1212 | |
| (316) 440-6601 |
| Full Name | New Medical Health Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2131 N Ridge Rd, Wichita, Kansas |
| Authorized Official Name and Position | Gregory F Lakin (OWNER) |
| Authorized Official Contact | 3167731212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Medical Health Care Llc P O Box 1389 Junction City KS 66441-1389 Ph: (316) 773-1212 | New Medical Health Care Llc 2131 N Ridge Rd Wichita KS 67212-1570 Ph: (316) 773-1212 |
| NPI Number | 1881644540 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 04/29/2013 |
| Medicare PECOS PAC ID | 6507770583 |
|---|---|
| Medicare Enrollment ID | O20031113000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881644540 | NPI | - | NPPES |
| 200000670A | Medicaid | KS | |
| 110965 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | William C Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952352007 PECOS PAC ID: 7517871478 Enrollment ID: I20031205000390 |
| Provider Name | Roger D Unruh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811948961 PECOS PAC ID: 6204731870 Enrollment ID: I20031205000426 |
| Provider Name | Donna Marie Bethel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730139437 PECOS PAC ID: 3173547809 Enrollment ID: I20060120000833 |
| Provider Name | Cherie Ann Bahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366959330 PECOS PAC ID: 3476814617 Enrollment ID: I20180302001076 |
| Provider Name | Sarah Oehmke-lejuerrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801100052 PECOS PAC ID: 1052664273 Enrollment ID: I20181105001791 |
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