Organization
IMMEDIATE CARE AT TALLGRASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY JOHNS MD (MEDICAL DIRECTOR)
(785) 234-2400
Entity
Organization
Contact information
Practice address
601 SW CORPORATE VIEW, STE. 200, TOPEKA, KS 66615
(785) 234-2400
(785) 271-2220
Mailing address
601 SW CORPORATE VIEW, STE. 200, TOPEKA, KS 66615
(785) 234-2400
(785) 271-2220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75132-092
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12116839
CAQH
KS
Enumeration date
06/30/2010
Last updated
06/13/2011
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