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NPI Code Detail

MEDICARE: WEST CENTRAL KANSAS ASSOCIATION, INC

MEDICARE: WEST CENTRAL KANSAS ASSOCIATION, 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
1261QR1300XRural Health Clinic/Center171350AKS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2110498OTHERKSBCBS

General Provider Information

NPI Number : 1215907951
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST CENTRAL KANSAS ASSOCIATION, INC
Provider Business Mailing Address
First Line : 200 S MAIN ST BLDG B
Second Line :
City : RUSSELL
State : KS
Zip : 67665-2920
Country : US
Telephone Number : 785-483-3131
Fax Number : 785-483-4859
Provider Business Practice Location Address
First Line : 222 S KANSAS ST
Second Line :
City : RUSSELL
State : KS
Zip : 67665-3000
Country : US
Telephone Number : 785-483-3131
Fax Number : 785-483-4859
Authorized Official
Title or Position : CEO
Name : DAVID CAUDILL
Credential :
Telephone Number : 785-483-0708
Provider Enumeration Date : 01/25/2006
Last Update Date : 11/16/2022

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Directions to “WEST CENTRAL KANSAS ASSOCIATION, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.