Healthcare Provider Details

I. General information

NPI: 1932938388
Provider Name (Legal Business Name): CAIRN HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 N BROADWAY AVE
WICHITA KS
67214-1106
US

IV. Provider business mailing address

1514 N BROADWAY AVE
WICHITA KS
67214-1106
US

V. Phone/Fax

Practice location:
  • Phone: 316-683-7559
  • Fax: 316-683-4489
Mailing address:
  • Phone: 316-683-7559
  • Fax: 316-683-4489

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 Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMBER BECK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 316-683-7559