Organization
OC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIGINA PRYOR RN (ADMINISTRATOR)
(316) 247-0238
Entity
Organization
Contact information
Practice address
242 N CLEVELAND AVE, WICHITA, KS 67214-4024
(316) 247-0238
(316) 260-5574
Mailing address
PO BOX 8486, WICHITA, KS 67208-0486
(316) 247-0238
(316) 260-5574
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A087-161
KS
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
07/17/2012
Last updated
12/01/2012
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