Healthcare Provider Details

I. General information

NPI: 1992342489
Provider Name (Legal Business Name): UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2019
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 SAINT JOHN ST
GARDEN CITY KS
67846-5128
US

IV. Provider business mailing address

PO BOX 766
GARDEN CITY KS
67846-0766
US

V. Phone/Fax

Practice location:
  • Phone: 620-271-7400
  • Fax:
Mailing address:
  • Phone: 620-271-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SCOTT CATCHPOLE
Title or Position: CEO
Credential:
Phone: 620-271-7400