Organization
NORTHEAST KANSAS CENTER FOR HEALTH AND WELLNESS, INC.
Active
Other names
Esther Becker Center for Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE A WHITE (CEO)
(785) 486-2642
Entity
Organization
Contact information
Practice address
517 MAIN ST, EVEREST, KS 66424
(785) 548-7610
(785) 486-2842
Mailing address
240 W 18TH ST, HORTON, KS 66439-1245
(785) 486-2642
(785) 486-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H-007-002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105444
BLUE SHIELD
KS
01
—
110054
BLUE SHIELD
KS
01
—
426715
BLUE SHIELD
KS
01
—
426979
BLUE SHIELD
KS
01
—
426995
BLUE SHIELD
KS
01
—
664990
FIRST GUARD HEALTH PLAN
KS
01
—
928432
FIRST GUARD HEALTH PLAN
KS
Enumeration date
06/20/2006
Last updated
08/22/2020
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