Healthcare Provider Details

I. General information

NPI: 1598795544
Provider Name (Legal Business Name): SEARIGHT FAMILY PRACTICE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 03/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 SECOND ST GOFF MEDICAL CLINIC
WETMORE KS
66550-0249
US

IV. Provider business mailing address

PO BOX 249 GOFF MEDICAL CLINIC
WETMORE KS
66550-0249
US

V. Phone/Fax

Practice location:
  • Phone: 785-866-4775
  • Fax: 785-866-4204
Mailing address:
  • Phone: 785-866-4775
  • Fax: 785-866-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04 19703
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. EMMA J KROGMANN
Title or Position: OFFICE MANAGER
Credential:
Phone: 785-866-4775