| Vcma North Amidon | |
|
1900 N Amidon Ave Ste 100 Wichita KS 67203-2140 | |
| (316) 832-9024 | |
| (316) 832-9478 |
| Full Name | Vcma North Amidon |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 N Amidon Ave, 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 North Amidon Po Box 764 Wichita KS 67201-0764 Ph: (316) 832-9024 | Vcma North Amidon 1900 N Amidon Ave Ste 100 Wichita KS 67203-2140 Ph: (316) 832-9024 |
| NPI Number | 1124209267 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124209267 | NPI | - | NPPES |
| 100290210A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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