Healthcare Provider Details

I. General information

NPI: 1558806489
Provider Name (Legal Business Name): CATALYS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2017
Last Update Date: 01/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 E SPRUCE ST SUITE 2B
GARDEN CITY KS
67846-5614
US

IV. Provider business mailing address

902 N 5TH ST
GARDEN CITY KS
67846-5640
US

V. Phone/Fax

Practice location:
  • Phone: 620-765-4324
  • Fax: 620-464-4732
Mailing address:
  • Phone: 848-770-6051
  • Fax: 847-513-9947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN BIRKY
Title or Position: PRESIDENT
Credential: MD
Phone: 620-765-4324