Healthcare Provider Details

I. General information

NPI: 1235050022
Provider Name (Legal Business Name): MIDWEST HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E 3RD AVE
ST JOHN KS
67576-2032
US

IV. Provider business mailing address

PO BOX 248
ST JOHN KS
67576-0248
US

V. Phone/Fax

Practice location:
  • Phone: 620-474-3533
  • Fax:
Mailing address:
  • Phone: 620-377-7272
  • Fax: 620-207-8192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLYN NICOLE FISHER
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 620-377-7272