Healthcare Provider Details

I. General information

NPI: 1346576899
Provider Name (Legal Business Name): HEALTHY OPTIONS FOR KANSAS COMMUNITIES (HOP), INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2009
Last Update Date: 10/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 E SUNNYBROOK LN
WICHITA KS
67210-1464
US

IV. Provider business mailing address

3620 E SUNNYBROOK LN
WICHITA KS
67210-1464
US

V. Phone/Fax

Practice location:
  • Phone: 316-651-0062
  • Fax: 316-295-2623
Mailing address:
  • Phone: 316-651-0062
  • Fax: 316-295-2623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PROF. RUTH PICKARD
Title or Position: EXCUTIVE DIRECTOR
Credential:
Phone: 316-651-0062