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NPI Code Detail

MEDICARE: AMERICAN BAPTIST ESTATES HOME HEALTH AGENCY

MEDICARE: AMERICAN BAPTIST ESTATES HOME HEALTH AGENCY
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 AgencyA087113KS

General Provider Information

NPI Number : 1982727442
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN BAPTIST ESTATES HOME HEALTH AGENCY
Provider Business Mailing Address
First Line : 1605 W MAY ST
Second Line :
City : WICHITA
State : KS
Zip : 67213-3511
Country : US
Telephone Number : 316-263-8264
Fax Number :
Provider Business Practice Location Address
First Line : 1605 W MAY ST
Second Line :
City : WICHITA
State : KS
Zip : 67213-3511
Country : US
Telephone Number : 316-263-8264
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : BILL L SHOOK
Credential : 1231
Telephone Number : 316-263-8264
Provider Enumeration Date : 04/09/2007
Last Update Date : 08/22/2020

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Directions to “AMERICAN BAPTIST ESTATES HOME HEALTH AGENCY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.