Healthcare Provider Details

I. General information

NPI: 1679610539
Provider Name (Legal Business Name): COUNTY OF SEDGWICK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 02/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 W 3RD ST N STE 500
WICHITA KS
67202-1223
US

IV. Provider business mailing address

271 W 3RD ST STE 500
WICHITA KS
67202-1223
US

V. Phone/Fax

Practice location:
  • Phone: 316-660-5299
  • Fax: 316-660-1936
Mailing address:
  • Phone: 316-660-7298
  • Fax: 316-660-1936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANNETTE GRAHAM
Title or Position: EXECUTIVE DIRECTOR
Credential: LSCSW
Phone: 316-660-5221