Healthcare Provider Details

I. General information

NPI: 1437891330
Provider Name (Legal Business Name): CARITAS CLINICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 04/11/2022
Certification Date: 03/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3164 SE 6TH AVE
TOPEKA KS
66607-2204
US

IV. Provider business mailing address

3164 SE 6TH AVE
TOPEKA KS
66607-2204
US

V. Phone/Fax

Practice location:
  • Phone: 785-233-2800
  • Fax: 785-233-8952
Mailing address:
  • Phone: 785-233-2800
  • Fax: 785-233-8952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELE ANDREA SURBER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 913-321-0820