# F ALLEN MOORHEAD JR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** F. Allen Moorhead Jr., M.D. Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457353674
- **Authorized official:** FRANK ALLEN MOORHEAD JR. M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (620) 325-2200

## Contact information

- **Practice address:** 709 MAIN ST, NEODESHA, KS 66757-1634
- **Practice address phone:** (620) 325-2200
- **Practice address fax:** (620) 325-2410
- **Mailing address:** 709 MAIN ST, PO BOX 180, NEODESHA, KS 66757-1634
- **Mailing address phone:** (620) 325-2200
- **Mailing address fax:** (620) 325-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | 04-13549 | KS | — |
| 261QR1300X | Rural Health Clinic/Center | 178917 | KS | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 01/22/2010