Healthcare Provider Details

I. General information

NPI: 1144498601
Provider Name (Legal Business Name): W.R. HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2008
Last Update Date: 02/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 S CHRISTIAN AVE
MOUNDRIDGE KS
67107-9000
US

IV. Provider business mailing address

135 S CHRISTIAN AVE P.O. BOX 862
MOUNDRIDGE KS
67107-9000
US

V. Phone/Fax

Practice location:
  • Phone: 620-345-7500
  • Fax:
Mailing address:
  • Phone: 620-345-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. WILLIAM ESPADA
Title or Position: BUSINESS OWNER/PRESIDENT
Credential:
Phone: 787-557-7412