DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LIFELINE STOP SMOKING CLINIC, LLC

MEDICARE: LIFELINE STOP SMOKING CLINIC, LLC
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
1261QH0100XHealth Service Clinic/Center17663KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1103516OTHERKSBCBS NON-PAR. PROVIDER #

General Provider Information

NPI Number : 1477632578
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFELINE STOP SMOKING CLINIC, LLC
Provider Business Mailing Address
First Line : 650 N CARRIAGE PKWY
Second Line : SUITE 135
City : WICHITA
State : KS
Zip : 67208-4507
Country : US
Telephone Number : 316-640-0804
Fax Number : 316-685-8247
Provider Business Practice Location Address
First Line : 650 N CARRIAGE PKWY
Second Line : SUITE 135
City : WICHITA
State : KS
Zip : 67208-4507
Country : US
Telephone Number : 316-640-0804
Fax Number : 316-685-8247
Authorized Official
Title or Position : OWNER/MANAGING PARTNER
Name : DR. TIMOTHY SCANLAN
Credential : MD
Telephone Number : 316-640-0804
Provider Enumeration Date : 11/02/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1427024868 — SMALL SMILES OF WICHITA, LLC
Practice Location Address:
650 N CARRIAGE PKWY , SUITE #60
WICHITA, KS
67208-4507
Practice Phone: 316-686-2721
Practice Fax: 316-686-2744
1922199603 — JOHN A BENUSIS
Practice Location Address:
650 N CARRIAGE PKWY , SUITE #60
WICHITA, KS
67208-4507
Practice Phone: 316-686-2721
Practice Fax:
1568504017 — PAUL MICHAEL ELKIN DDS
Practice Location Address:
650 N CARRIAGE PKWY , #60
WICHITA, KS
67208-4507
Practice Phone: 316-686-2721
Practice Fax: 316-686-2744
1356522940 — JANET COLEEN NEWFELT LMFT, AAPS
Practice Location Address:
650 N CARRIAGE PKWY , SUITE 135
WICHITA, KS
67208-4507
Practice Phone: 316-685-4700
Practice Fax: 316-685-8247
1023296860 — COURTNEY RENAY RUIZ COTA
Practice Location Address:
4507 LAKE PARK DR
WICHITA FALLS, TX
76302-2807
Practice Phone: 936-332-5298
Practice Fax:
1598171233 — MALLOREY CASTANEDA
Practice Location Address:
3326 N JACKSON CT
WICHITA, KS
67204-4507
Practice Phone: 316-633-8944
Practice Fax:

Directions to “LIFELINE STOP SMOKING CLINIC, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.