| Vcma Immed Care | |
|
8444 W 21st Street Ste B Wichita KS 67205-1752 | |
| (316) 721-9500 | |
| (316) 721-9574 |
| Full Name | Vcma Immed Care |
|---|---|
| Speciality | Family Medicine |
| Location | 8444 W 21st Street, Wichita, Kansas |
| Authorized Official Name and Position | Edward J Hett (PRESIDENT) |
| Authorized Official Contact | 3162688080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcma Immed Care 8444 W 21st Street Ste B Wichita KS 67205-1752 Ph: (316) 721-9500 | Vcma Immed Care 8444 W 21st Street Ste B Wichita KS 67205-1752 Ph: (316) 721-9500 |
| NPI Number | 1750523494 |
|---|---|
| Provider Enumeration Date | 03/26/2009 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750523494 | NPI | - | NPPES |
| 100087990C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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