Healthcare Provider Details
I. General information
NPI: 1558813667
Provider Name (Legal Business Name): HEALTH MINISTRIES CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2016
Last Update Date: 07/08/2024
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
720 MEDICAL CENTER DR
NEWTON KS
67114-8778
US
IV. Provider business mailing address
215 S PINE ST
NEWTON KS
67114-3745
US
V. Phone/Fax
- Phone: 316-283-6103
- Fax: 316-283-1333
- Phone: 316-283-6103
- Fax: 316-283-1333
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATTHEW
SCHMIDT
Title or Position: CEO
Credential: LSCSW
Phone: 316-283-6103