Organization
WICHITA COUNTY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA BAKER (CFO)
(620) 375-2233
Entity
Organization
Contact information
Practice address
211 E EARL ST, LEOTI, KS 67861-9620
(620) 375-2222
(620) 375-2248
Mailing address
211 E EARL ST, LEOTI, KS 67861-9620
(620) 375-2222
(620) 375-2248
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H102001
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016781
CLINIC
KS
05
—
100099560C
—
KS
Enumeration date
11/04/2005
Last updated
11/24/2020
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