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General NPI Number Information
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NPI Number | 1487712170
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Entity Type | Organization
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Legal Business Name | CONWAY SPRINGS RHC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 111 W MAIN
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City | CONWAY SPRINGS
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State | KS
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Zip | 67031
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Country | US
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Telephone | 620-456-2411
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Fax | 620-896-7121
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | HARPER
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State | KS
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Zip | 67058
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Country | US
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Telephone | 620-896-7313
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Fax | 620-896-7121
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Authorized Official
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Title or Position | OWNER PROVIDER
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Name | RALPH E BELLAR
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Credential | MD
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Telephone | 620-896-7313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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