Organization
WEST CENTRAL KANSAS ASSOCIATION, INC
Active
Parent organization
WEST CENTRAL KANSAS ASSOCIATION INC
Other names
Russell Regional Hospital Physicians Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST CENTRAL KANSAS ASSOCIATION INC
Authorized official
DAVID CAUDILL (CEO)
(785) 483-0708
Entity
Organization
Contact information
Practice address
222 S KANSAS ST, RUSSELL, KS 67665-3000
(785) 483-3131
(785) 483-4859
Mailing address
200 S MAIN ST BLDG B, RUSSELL, KS 67665-2920
(785) 483-3131
(785) 483-4859
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
171350A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100306710B
—
KS
01
—
110498
BCBS
KS
Enumeration date
01/25/2006
Last updated
11/16/2022
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