| Tallgrass Family Medicine, Llc | |
|
8100 E 22nd St N Ste 2200-2 Wichita KS 67226-2322 | |
| (316) 440-8383 | |
| Not Available |
| Full Name | Tallgrass Family Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8100 E 22nd St N Ste 2200-2, Wichita, Kansas |
| Authorized Official Name and Position | Michelle Louis (MANAGER) |
| Authorized Official Contact | 3164408383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallgrass Family Medicine, Llc 8100 E 22nd St N Ste 2200-2 Wichita KS 67226-2322 Ph: () - | Tallgrass Family Medicine, Llc 8100 E 22nd St N Ste 2200-2 Wichita KS 67226-2322 Ph: (316) 440-8383 |
| NPI Number | 1043473192 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 10/01/2008 |
| Medicare PECOS PAC ID | 7315014453 |
|---|---|
| Medicare Enrollment ID | O20080916000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043473192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michelle M Louis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366400558 PECOS PAC ID: 3779541420 Enrollment ID: I20041228000398 |
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