Healthcare Provider Details

I. General information

NPI: 1396996856
Provider Name (Legal Business Name): OLATHE HEALTH PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 02/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 N 1ST ST
MOUND CITY KS
66056-5279
US

IV. Provider business mailing address

20333 W 151ST ST
OLATHE KS
66061-5350
US

V. Phone/Fax

Practice location:
  • Phone: 913-795-2203
  • Fax: 913-795-2701
Mailing address:
  • Phone: 913-791-4461
  • Fax: 913-324-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE R. WIENS
Title or Position: VP/QUALITY & COMPLIANCE
Credential:
Phone: 913-791-4459