Organization
HEALING WATERS WICHITA LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GORECKI (PRESIDENT)
(316) 262-2995
Entity
Organization
Contact information
Practice address
2000 N ROCK RD, SUITE 100, WICHITA, KS 67206-1201
(316) 262-2995
(316) 262-2546
Mailing address
33 BUFORD VILLAGE WAY, SUITE 325, BUFORD, GA 30518-8843
(678) 730-7780
(678) 730-7786
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200468790A
—
OK
05
—
201097690A
—
KS
Enumeration date
07/18/2011
Last updated
03/30/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us