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NPI Code Detail

MEDICARE: COUNTY OF SEDGWICK

MEDICARE: COUNTY OF SEDGWICK
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
1363A00000XPhysician Assistant1500365KS
2363A00000XPhysician Assistant1500685KS
3363LC1500XCommunity Health Nurse Practitioner45204KS
4363LC1500XCommunity Health Nurse Practitioner45073KS
5251K00000XPublic Health or Welfare Agency

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 : 1629281373
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF SEDGWICK
Provider Business Mailing Address
First Line : 635 N MAIN ST
Second Line :
City : WICHITA
State : KS
Zip : 67203-3602
Country : US
Telephone Number : 316-660-7611
Fax Number : 316-660-7510
Provider Business Practice Location Address
First Line : 2716 W CENTRAL AVE
Second Line :
City : WICHITA
State : KS
Zip : 67203-4904
Country : US
Telephone Number : 316-660-7354
Fax Number : 316-660-4918
Authorized Official
Title or Position : HEALTH DEPARTMENT DIRECTOR
Name : MS. CLAUDIA BLACKBURN
Credential :
Telephone Number : 316-660-7339
Provider Enumeration Date : 05/08/2007
Last Update Date : 02/08/2012

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Directions to “COUNTY OF SEDGWICK ” Practice Location

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