| Ohaebosim Medical Clinic Inc | |
|
2810 E 21st Street Wichita KS 67214-2252 | |
| (316) 681-1901 | |
| (316) 618-7362 |
| Full Name | Ohaebosim Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2810 E 21st Street, Wichita, Kansas |
| Authorized Official Name and Position | Linus C Ohaebosim (OWNER PRESIDENT) |
| Authorized Official Contact | 3166811901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohaebosim Medical Clinic Inc 2810 E 21st Street Wichita KS 67214-2252 Ph: (316) 681-1901 | Ohaebosim Medical Clinic Inc 2810 E 21st Street Wichita KS 67214-2252 Ph: (316) 681-1901 |
| NPI Number | 1497829261 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497829261 | NPI | - | NPPES |
| 614790 | Other | FIRST GUARD | |
| 693 | Other | KS | PHS |
| 49202 | Other | KS | BLUE SHIELD |
| 4083832 | Other | AETNA | |
| 100098690A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0516911 (Kansas) | 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 |