Healthcare Provider Details
I. General information
NPI: 1326512450
Provider Name (Legal Business Name): HEALTH MINISTRIES CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2019
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
720 MEDICAL CENTER DR
NEWTON KS
67114-8778
US
IV. Provider business mailing address
720 MEDICAL CENTER DR
NEWTON KS
67114-8778
US
V. Phone/Fax
- Phone: 316-283-6103
- Fax: 316-283-1333
- Phone: 316-284-5151
- Fax: 316-284-5161
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARK
T
ATTEBERY
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 316-284-5151