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NPI Code Detail

MEDICARE: UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC.

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
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CH07463AOTHER340B ID
2001421OTHERKSBC/BS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730174228
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 : 620-708-4027
Provider Business Practice Location Address
First Line : 712A SAINT JOHN ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5128
Country : US
Telephone Number : 620-275-1766
Fax Number : 620-275-4729
Authorized Official
Title or Position : CEO
Name : SCOTT CATCHPOLE
Credential :
Telephone Number : 620-271-7400
Provider Enumeration Date : 09/12/2005
Last Update Date : 04/02/2025

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