Healthcare Provider Details
I. General information
NPI: 1639898448
Provider Name (Legal Business Name): YOU MATTER MED LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2022
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1702 S OLIVE ST
PITTSBURG KS
66762-5738
US
IV. Provider business mailing address
1702 S OLIVE ST
PITTSBURG KS
66762-5738
US
V. Phone/Fax
- Phone: 620-704-7789
- Fax:
- Phone: 620-704-7789
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
STINEBAUGH
Title or Position: OWNER
Credential: APRN
Phone: 620-704-7789