| Restore First Health | |
|
12021 E 13th St N Ste 119 Wichita KS 67206-2843 | |
| (316) 330-5353 | |
| (316) 330-5889 |
| Full Name | Restore First Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 12021 E 13th St N Ste 119, Wichita, Kansas |
| Authorized Official Name and Position | Michael Mages (OPERATIONS MANAGER) |
| Authorized Official Contact | 3165587497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore First Health 12021 E 13th St N Ste 119 Wichita KS 67206-2843 Ph: (316) 330-5353 | Restore First Health 12021 E 13th St N Ste 119 Wichita KS 67206-2843 Ph: (316) 330-5353 |
| NPI Number | 1609500701 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 08/11/2024 |
| Medicare PECOS PAC ID | 7315315462 |
|---|---|
| Medicare Enrollment ID | O20221121001081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609500701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jace W Hyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336172907 PECOS PAC ID: 5799749560 Enrollment ID: I20041112000392 |
| Provider Name | Jessica E Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174856736 PECOS PAC ID: 5991844011 Enrollment ID: I20091203000312 |
| Provider Name | Erica D Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346512423 PECOS PAC ID: 5991956047 Enrollment ID: I20121119000317 |
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