MEDICARE: VALLEY FALLS MEDICAL CLINIC AN OPERATING DIVISION OF SFHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0521655	KS
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	0517984	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407887292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY FALLS MEDICAL CLINIC AN OPERATING DIVISION OF SFHC

Provider Business Mailing Address
First Line	:	PO BOX 216
Second Line	:	403 SYCAMORE
City	:	VALLEY FALLS
State	:	KS
Zip	:	66088-0216
Country	:	US
Telephone Number	:	785-945-3263
Fax Number	:	785-945-3902

Provider Business Practice Location Address
First Line	:	403 SYCAMORE ST
Second Line	:
City	:	VALLEY FALLS
State	:	KS
Zip	:	66088-1318
Country	:	US
Telephone Number	:	785-945-3263
Fax Number	:	785-945-3902

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	STEPHANIE L STEINLICHT
Credential	:
Telephone Number	:	785-945-3263

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	01/17/2013

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