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).
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 |
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 Name | Type Code |
---|---|
GraceMed ComCare Clinic | Doing Business As Name - Organization |
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 |
Street Address |
1919 N AMIDON AVE SUITE 100 |
City | WICHITA |
State | KS |
Zip Code | 67203-2117 |
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 |
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 Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
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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.