| NPI | 1215593249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA THANEL CEO 316-682-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2021-06-10 |