Organization
BROADMOOR ONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX COLE (OWNER)
(316) 683-0562
Entity
Organization
Contact information
Practice address
2119 N BROADMOOR ST, WICHITA, KS 67206-1028
(316) 260-3625
Mailing address
9435 E CENTRAL AVE STE 200, WICHITA, KS 67206-2552
(316) 683-0562
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087182
KS
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us