GRACEMED HEALTH CLINIC, INC


Address: 1919 N Amidon Ave, Suite 100, Wichita, KS 67203-2117
Phone: 3168662000

GRACEMED HEALTH CLINIC, INC (NPI# 1861859787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861859787
Entity Type Organization
Organization Name GRACEMED HEALTH CLINIC, INC
Other Organization Name GRACEMED COMCARE CLINIC
Practice Address 1919 N Amidon Ave
Suite 100
Wichita
KS 67203-2117
Mailing Address 1122 N Topeka St
Wichita
KS 67214-2810
Practice Telephone 3168662000
Practice Fax Number 3168662084
Mailing Telephone 3168662000
Mailing Fax Number 3168662084
Enumeration Date 2016-01-22
Last Update Date 2016-01-22
Authorized Official Name MR. DAVID C SANFORD (CEO)
Authorized Official Telephone 3168662001
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
GraceMed ComCare Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932579513 Gracemed Health Clinic, Inc Clinic/Center 755 W. Lincoln St, Wichita, KS 67213 2015-09-25
1992113898 Gracemed Health Clinic, Inc Clinic/Center 5000 S Clifton Ave Ste 200, Wichita, KS 67216-3408 2014-07-24
1952651713 Gracemed Health Clinic, Inc Clinic/Center 4910 W 1st St N, Wichita, KS 67212-2341 2012-09-19
1568947737 Gracemed Health Clinic, Inc Clinic/Center 101 E Ross St, Clearwater, KS 67026-7824 2018-10-03
1437697174 Gracemed Health Clinic, Inc Pharmacy 1122 N Topeka St, Wichita, KS 67214-2810 2017-02-02
1871035709 Gracemed Health Clinic, Inc Clinic/Center 322 N Main St, Suite 100, Mcpherson, KS 67460-4308 2016-11-09
1285083469 Gracemed Health Clinic, Inc Clinic/Center 2025 Se California Ave, Topeka, KS 66607-1443 2016-06-08
1194174482 Gracemed Health Clinic, Inc Clinic/Center 1615 Sw 8th Ave, Topeka, KS 66606-1633 2016-06-07
1053770818 Gracemed Health Clinic, Inc Clinic/Center 3417 S Meridian Ave, Wichita, KS 67217-2151 2016-02-22
1730575069 Gracemed Health Clinic, Inc Clinic/Center 3610 E Ross Pkwy, Wichita, KS 67210-1311 2015-04-14

Office Location

Street Address 1919 N AMIDON AVE
SUITE 100
City WICHITA
State KS
Zip Code 67203-2117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982663720 Deborah Ann Olien Social Worker 1919 N Amidon Ave, Ste 100, Wichita, KS 67203-2117 2006-03-21
1770935470 Mary Brooks Social Worker 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2016-07-06
1184085433 Allison Cockrill Social Worker 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2016-03-15
1245607845 Diane Hilger Licensed Practical Nurse 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2015-08-31
1831566751 Thien Pham Registered Nurse 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2015-08-26
1184090896 Rose Weisensee Registered Nurse 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2015-08-17
1023494366 Lynelle Fernandez Registered Nurse 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2015-08-10
1881094902 Ashley Melugin Clinical Nurse Specialist 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2014-08-26
1407281272 Jacy F Barker Nurse Practitioner 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2013-09-11
1578903944 Benjamen Benson Social Worker 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2013-07-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194372342 Briana Renea Drury Occupational Therapist Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 2019-08-22
1568991826 Kansas Transportation Services Transportation Broker 3536 W 2nd St N, # 503, Wichita, KS 67203 2017-06-08
1326590621 Katherine Renee Newby Marriage & Family Therapist 930 W Douglas Ave # G, Wichita, KS 67203 2016-11-03
1376093211 Stellar Home Health LLC Home Health 2525 W 13th St North, Suite 300, Wichita, KS 67203 2016-10-04
1972966497 David Duane Sorrick Marriage & Family Therapist 1999 North Amidon, Wichita, KS 67203 2016-04-01
1285004978 M. Sullivan Chiropractic LLC Chiropractor 728 W. Douglas Ave, Wichita, KS 67203 2015-10-07
1740664648 Miketo Michelle Kirk Counselor 2050 West 11th St., Wichita, KS 67203 2015-07-10
1063895209 Let's Talk Therapy and Supervision Inc Social Worker 2458 W Newell St, Wichita, KS 67203 2015-07-07
1396147096 Heather Ann Shelton Counselor 1919 N Amidon Ave Ste 108, Wichita, KS 67203 2014-09-24
1538568456 Patricia D. Riley Social Worker 1900 N Amidon Ave Ste 210, Wichita, KS 67203 2014-08-15
Find all providers in zip 67203

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932579513 Gracemed Health Clinic, Inc Clinic/Center 755 W. Lincoln St, Wichita, KS 67213 2015-09-25
1992113898 Gracemed Health Clinic, Inc Clinic/Center 5000 S Clifton Ave Ste 200, Wichita, KS 67216-3408 2014-07-24
1043646870 Gracemed Downing Children Clinic Clinic/Center 2201 E 25th St N, Building 200, Wichita, KS 67219-4714 2013-09-25
1356777114 Gracemed Healthy Family Clinic Clinic/Center 1905 S Laura St, Wichita, KS 67211-4422 2013-09-24
1912333774 Gracemed Evergreen Family Clinic Clinic/Center 2700 N Woodland St, Wichita, KS 67204-5158 2013-09-24
1952651713 Gracemed Health Clinic, Inc Clinic/Center 4910 W 1st St N, Wichita, KS 67212-2341 2012-09-19
1174690796 Hunter Health Clinic, Inc Clinic/Center 935 N Market St, Wichita, KS 67214-3521 2006-11-29
1265508337 Hunter Health Clinic, Inc Clinic/Center 238 N Waco St, Wichita, KS 67202-1108 2006-11-28
1841759453 Hunter Health Clinic, Inc Clinic/Center 402 E 2nd St N, Wichita, KS 67202-2504 2019-03-14
1053770818 Gracemed Health Clinic, Inc Clinic/Center 3417 S Meridian Ave, Wichita, KS 67217-2151 2016-02-22
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67203

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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