Organization
TOPEKA HOUSING AUTHORITY
Active
Parent organization
TOPEKA HOUSING AUTHORITY
Other names
Pine Ridge Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOPEKA HOUSING AUTHORITY
Authorized official
LAURIE SODAMANN (HEALTH SERVICES ADMINISTRATOR)
(785) 783-8453
Entity
Organization
Contact information
Practice address
2721 SE 10TH ST, TOPEKA, KS 66607-1706
(785) 357-8842
Mailing address
2721 SE 10TH ST, TOPEKA, KS 66607-1706
(785) 783-8453
(785) 783-8469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-46075
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200964710B
—
KS
Enumeration date
08/31/2017
Last updated
12/28/2017
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