| NPI | 1689603706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDIE FOULK Admission/Billing Manager 316-689-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: KS 073) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |