Healthcare Provider Details

I. General information

NPI: 1679407894
Provider Name (Legal Business Name): CHARLES VANHOUDEN, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 W MAIN CHANUTE, KS 66720
CHANUTE KS
66720-1607
US

IV. Provider business mailing address

421 W MAIN CHANUTE, KS 66720
CHANUTE KS
66720-1607
US

V. Phone/Fax

Practice location:
  • Phone: 620-431-7193
  • Fax: 620-431-7741
Mailing address:
  • Phone: 620-431-7193
  • Fax: 620-431-7741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES VAN HOUDEN
Title or Position: SURGEON
Credential: MD
Phone: 620-431-7193