1942357413 NPI number — WATKINS HEALTH SERVICES- THE UNIV OF KANSAS - WATKINS HEALTH SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942357413 NPI number — WATKINS HEALTH SERVICES- THE UNIV OF KANSAS - WATKINS HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WATKINS HEALTH SERVICES- THE UNIV OF KANSAS - WATKINS HEALTH SERVICES
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:
6
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:
1942357413
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 SCHWEGLER DR
Provider Second Line Business Mailing Address:
WATKINS MEMORIAL HEALTH CENTER
Provider Business Mailing Address City Name:
LAWRENCE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66045-7559
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-864-9525
Provider Business Mailing Address Fax Number:
785-812-0217

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 SCHWEGLER DR
Provider Second Line Business Practice Location Address:
WATKINS MEMORIAL HEALTH CENTER
Provider Business Practice Location Address City Name:
LAWRENCE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66045-7559
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-864-9525
Provider Business Practice Location Address Fax Number:
785-812-0217
Provider Enumeration Date:
01/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HERMAN
Authorized Official First Name:
ELLEN
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATIVE DIRECTOR
Authorized Official Telephone Number:
785-864-9525

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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