Healthcare Provider Details
I. General information
NPI: 1396830444
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: 05/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
555 N WOODLAWN ST
WICHITA KS
67208
US
IV. Provider business mailing address
271 W 3RD ST N STE 600
WICHITA KS
67202-1223
US
V. Phone/Fax
- Phone: 316-685-1821
- Fax: 316-685-0768
- Phone: 316-660-7600
- Fax: 316-941-5075
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOAN
TAMMANY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 316-660-7600