Organization
WESLEY MEDICAL CENTER LLC
Active
Parent organization
WESLEY MEDICAL CENTER LLC
Other names
Wesley Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESLEY MEDICAL CENTER LLC
Authorized official
NICOLE CASTLEBERRY (CFO)
(316) 962-2055
Entity
Organization
Contact information
Practice address
620 N CARRIAGE PKWY, WICHITA, KS 67208-4501
(316) 962-3100
(316) 962-3164
Mailing address
PO BOX 47490, WICHITA, KS 67201-7490
(316) 962-3150
(316) 962-7334
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100327110F
—
KS
05
—
100327110G
—
KS
01
—
110453
BCBS OF KANSAS
KS
Enumeration date
05/28/2006
Last updated
10/20/2022
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