Organization
WHITE CLOUD HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DWAYNE HICKS (CEO)
(785) 850-1801
Entity
Organization
Contact information
Practice address
3349B THRASHER RD, WHITE CLOUD, KS 66094-4005
(785) 595-3450
(785) 595-3493
Mailing address
3349B THRASHER RD, WHITE CLOUD, KS 66094-4005
(785) 595-3450
(785) 595-3493
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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