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NPI Code Detail

MEDICARE: INTERIM HEALTH CARE OF WICHITA INC

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
1251E00000XHome Health AgencyA-087-003KS

Other Identifiers

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

General Provider Information

NPI Number : 1548264229
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 : JAY MORROW STEHLEY
Credential :
Telephone Number : 316-265-4295
Provider Enumeration Date : 06/09/2005
Last Update Date : 12/17/2024

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Directions to “INTERIM HEALTH CARE OF WICHITA INC ” Practice Location

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