| Vcma West Maple | |
|
13610 W Maple St Wichita KS 67235-8776 | |
| (316) 773-4500 | |
| (316) 773-4555 |
| Full Name | Vcma West Maple |
|---|---|
| Speciality | Family Medicine |
| Location | 13610 W Maple St, 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 West Maple Po Box 764 Wichita KS 67201-0764 Ph: (316) 773-4500 | Vcma West Maple 13610 W Maple St Wichita KS 67235-8776 Ph: (316) 773-4500 |
| NPI Number | 1578744611 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578744611 | NPI | - | NPPES |
| 100003230T | Medicaid | KS | |
| 100088910I | Medicaid | KS |
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