White Cloud Health Center, Llc | |
3349b Thrasher Rd White Cloud KS 66094-4005 | |
(785) 595-3450 | |
(785) 595-3493 |
Full Name | White Cloud Health Center, Llc |
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Speciality | Clinic/Center |
Location | 3349b Thrasher Rd, White Cloud, Kansas |
Authorized Official Name and Position | Jeffrey Dwayne Hicks (CEO) |
Authorized Official Contact | 7858501801 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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White Cloud Health Center, Llc 3349b Thrasher Rd White Cloud KS 66094-4005 Ph: (785) 595-3450 | White Cloud Health Center, Llc 3349b Thrasher Rd White Cloud KS 66094-4005 Ph: (785) 595-3450 |
NPI Number | 1407327620 |
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Provider Enumeration Date | 12/16/2018 |
Last Update Date | 12/16/2018 |
Medicare PECOS PAC ID | 9830437995 |
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Medicare Enrollment ID | O20191021001753 |
Identifier | Type | State | Issuer |
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1407327620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Michael Bryer-ash |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1649205899 PECOS PAC ID: 5597652420 Enrollment ID: I20101005000234 |
Provider Name | Hollie Marie Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245739127 PECOS PAC ID: 0345503413 Enrollment ID: I20211028002783 |
Provider Name | Jennifer Warren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821659061 PECOS PAC ID: 9234464025 Enrollment ID: I20220104002649 |
Provider Name | Tanna Blair Kuhnert |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1639748627 PECOS PAC ID: 5890181812 Enrollment ID: I20220331000134 |
Provider Name | Jacob Andrew Bartek |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316308158 PECOS PAC ID: 5092011205 Enrollment ID: I20220829003314 |
Provider Name | John Michael Feuerbacher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669476354 PECOS PAC ID: 8325174188 Enrollment ID: I20221103001491 |
Provider Name | Catherine Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932828779 PECOS PAC ID: 2961868252 Enrollment ID: I20230511000296 |
Provider Name | Steve Sitek |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437166303 PECOS PAC ID: 0840309365 Enrollment ID: I20240304001774 |
Provider Name | April Wamsley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578802740 PECOS PAC ID: 4688898588 Enrollment ID: I20240313001340 |