Healthcare Provider Details
I. General information
NPI: 1285265777
Provider Name (Legal Business Name): SUNFLOWER HOSPITAL OF TOPEKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2020
Last Update Date: 09/14/2023
Certification Date: 02/03/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6135 SW 17TH STREET
TOPEKA KS
66604
US
IV. Provider business mailing address
6030 S RICE AVE STE C
HOUSTON TX
77081-2944
US
V. Phone/Fax
- Phone: 713-660-0555
- Fax:
- Phone: 713-660-0557
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QE0002X |
| Taxonomy | Emergency Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TOM
VO
Title or Position: MANAGER
Credential: MD
Phone: 713-660-0557