Healthcare Provider Details

I. General information

NPI: 1417694696
Provider Name (Legal Business Name): COMMUNITY HEALTH COUNCIL OF WYANDOTTE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 ARMSTRONG AVE
KANSAS CITY KS
66101-2604
US

IV. Provider business mailing address

803 ARMSTRONG AVE
KANSAS CITY KS
66101-2604
US

V. Phone/Fax

Practice location:
  • Phone: 913-372-9298
  • Fax:
Mailing address:
  • Phone: 913-372-9298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHERINE MARIAH CHRANS
Title or Position: PROGRAM DIRECTOR
Credential: PHD
Phone: 913-371-9298