Organization
PREFERRED MEDICAL ASSOCIATES
Active
Parent organization
PREFERRED MEDICAL ASSOCIATES
Other names
VCMA IOLA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREFERRED MEDICAL ASSOCIATES
Authorized official
DR. EDWARD J HETT MD (PRESIDENT)
(316) 268-8080
Entity
Organization
Contact information
Practice address
401 S WASHINGTON AVE, IOLA, KS 66749-3256
(620) 365-6933
(620) 365-8126
Mailing address
PO BOX 764, WICHITA, KS 67201-0764
(620) 365-6933
(620) 365-8126
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003230M
—
KS
Enumeration date
03/20/2007
Last updated
08/12/2010
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