Healthcare Provider Details

I. General information

NPI: 1346189867
Provider Name (Legal Business Name): WESLEY MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W HWY 54
ANDOVER KS
67002-7888
US

IV. Provider business mailing address

221 W HWY 54
ANDOVER KS
67002-7888
US

V. Phone/Fax

Practice location:
  • Phone: 316-965-5105
  • Fax:
Mailing address:
  • Phone: 316-965-5105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM VOLOCH
Title or Position: CEO
Credential:
Phone: 316-962-2204