Organization
MIDWEST FAMILY HEALTH OF PHILLIPSBURG INC
Active
Other names
Midwest Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE RICKER (OWNER)
(785) 540-4143
Entity
Organization
Contact information
Practice address
300 STATE ST, PHILLIPSBURG, KS 67661-1930
(785) 543-5131
(785) 543-5844
Mailing address
PO BOX 608, PHILLIPSBURG, KS 67661-0608
(785) 540-4143
(785) 540-4314
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
213247
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031195
PK
—
05
—
30003877760001
—
KS
05
—
30003877760002
—
KS
Enumeration date
06/14/2006
Last updated
03/25/2025
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