Healthcare Provider Details

I. General information

NPI: 1942395082
Provider Name (Legal Business Name): COUNTY OF SEDGWICK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1938 N WOODLAWN ST STE 400
WICHITA KS
67208-1875
US

IV. Provider business mailing address

271 W 3RD ST N STE 600
WICHITA KS
67202-1223
US

V. Phone/Fax

Practice location:
  • Phone: 316-660-9600
  • Fax: 316-660-9660
Mailing address:
  • Phone: 316-660-7600
  • Fax: 316-941-5075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JOAN TAMMANY
Title or Position: DIRECTOR
Credential: LMLP
Phone: 316-660-7600