1831180033 NPI number — COUNTY OF SEDGWICK

Table of content: (NPI 1831180033)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831180033 NPI number — COUNTY OF SEDGWICK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF SEDGWICK
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831180033
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
271 W 3RD ST N STE 600
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WICHITA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67202-1223
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
316-660-7600
Provider Business Mailing Address Fax Number:
316-941-5075

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
635 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67203-3602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-660-7600
Provider Business Practice Location Address Fax Number:
316-660-7510
Provider Enumeration Date:
11/04/2005

Additional Information

Authorized Official

Authorized Official Last Name:
TAMMANY
Authorized Official First Name:
JOAN
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
316-660-7665

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100056230C , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100237150F , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 006904 . This is a "BCBS GROUP #" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100229160A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 116044 . This is a "BLUE CROSS OSAF PROV #" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 324716 . This is a "VALUE OPTIONS PROV #" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100056230A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100080500B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




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