Organization
NORTHEAST KANSAS CENTER FOR HEALTH AND WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE A WHITE (CEO)
(785) 486-2642
Entity
Organization
Contact information
Practice address
240 W 18TH ST, HORTON, KS 66439-1245
(785) 486-2642
(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
3416L0300X
Land Ambulance
Primary
830
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119983
BLUE CROSS
KS
Enumeration date
10/20/2006
Last updated
07/21/2022
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