Organization
GRACEMED HEALTH CLINIC, INC
Active
Other names
GraceMed Jardine Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ELDER DO (CEO)
(316) 866-2066
Entity
Organization
Contact information
Practice address
3610 E ROSS PKWY, WICHITA, KS 67210-1311
(316) 866-2000
(316) 866-2084
Mailing address
1150 N BROADWAY AVE, WICHITA, KS 67214-2805
(316) 866-2000
(316) 866-2084
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
09/08/2025
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