MEDICARE: INTERIM HEALTH CARE OF WICHITA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1215252499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERIM HEALTH CARE OF WICHITA INC

Provider Business Mailing Address
First Line	:	9920 E HARRY ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67207-5008
Country	:	US
Telephone Number	:	316-265-4295
Fax Number	:	316-265-4399

Provider Business Practice Location Address
First Line	:	9920 E HARRY ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67207-5008
Country	:	US
Telephone Number	:	316-265-4295
Fax Number	:	316-265-4399

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAY M STEHLEY
Credential	:
Telephone Number	:	316-265-4295

Provider Enumeration Date	:	03/31/2010
Last Update Date	:	09/03/2025

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