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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
1282NC0060XCritical Access HospitalH084001KS
2261QE0002XEmergency Care Clinic/CenterH084001KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2110427OTHERKSBLUE SHIELD

General Provider Information

NPI Number : 1720042567
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST CENTRAL KANSAS ASSOCIATION, INC.
Provider Business Mailing Address
First Line : 200 S MAIN ST
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 : 200 S MAIN ST
Second Line :
City : RUSSELL
State : KS
Zip : 67665-2920
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 : 04/17/2006
Last Update Date : 11/16/2022

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

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