Organization
SUMNER MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L GASKILL (CHIEF EXECUTIVE OFFICER)
(620) 326-7448
Entity
Organization
Contact information
Practice address
1601 WEST 16TH STREET, WELLINGTON, KS 67152-8125
(620) 326-7448
(620) 326-6662
Mailing address
P O BOX 607, WELLINGTON, KS 67152-8125
(620) 326-7448
(620) 326-6662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006936
BLUE CROSS BLUE SHIELD
KS
05
—
100007530B
—
KS
05
—
100229020A
—
KS
Enumeration date
07/21/2006
Last updated
11/17/2023
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