Organization
MENTAL HEALTH AMERICA OF SOUTH CENTRAL KANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHLOE COUCH (REVENUE CYCLE MANAGER)
(316) 685-1821
Entity
Organization
Contact information
Practice address
555 N WOODLAWN ST, SUITE 3105, WICHITA, KS 67208-3645
(316) 685-1821
(316) 685-0768
Mailing address
555 N WOODLAWN ST, SUITE 3105, WICHITA, KS 67208-3646
(316) 685-1821
(316) 685-0768
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003924420001
—
KS
05
—
30003924420003
—
KS
05
—
30003924420010
—
KS
01
—
KA2143
MEDICARE PTAN
KS
Enumeration date
01/29/2007
Last updated
07/23/2024
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