MEDICARE: UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, 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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1609224658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 766
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-0766
Country	:	US
Telephone Number	:	620-271-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 S MAIN ST STE E
Second Line	:
City	:	ULYSSES
State	:	KS
Zip	:	67880-2519
Country	:	US
Telephone Number	:	620-356-2432
Fax Number	:	620-356-4050

Authorized Official
Title or Position	:	CEO
Name	:	SCOTT CATCHPOLE
Credential	:
Telephone Number	:	620-271-7400

Provider Enumeration Date	:	06/01/2016
Last Update Date	:	04/02/2025

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