# OC MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265787071
- **Authorized official:** MRS. BRIGINA PRYOR RN (ADMINISTRATOR)
- **Authorized official phone:** (316) 247-0238

## Contact information

- **Practice address:** 242 N CLEVELAND AVE, WICHITA, KS 67214-4024
- **Practice address phone:** (316) 247-0238
- **Practice address fax:** (316) 260-5574
- **Mailing address:** PO BOX 8486, WICHITA, KS 67208-0486
- **Mailing address phone:** (316) 247-0238
- **Mailing address fax:** (316) 260-5574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | A087-161 | KS | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/17/2012
- **Last updated:** 12/01/2012