Organization
WAMEGO HOSPITAL ASSOCIATION
Active
Other names
Wamego Family Clinic, Wamego Family Clinic & Wamego Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE LAND (ADMINISTRATOR)
(785) 456-2295
Entity
Organization
Contact information
Practice address
711 GENN DR, WAMEGO, KS 66547
(785) 456-2295
(785) 456-9467
Mailing address
711 GENN DR, WAMEGO, KS 66547-1179
(785) 456-2295
(785) 456-9467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H-075-002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001537
BLUE CROSS-RHC
KS
01
—
0430151
DAREY-KS LICENSE#
KS
05
—
100420870B
—
KS
05
—
100420870C
—
KS
01
—
110789
BLUE CROSS
KS
01
—
44166
DOUGLAS-KS LICENSE#
KS
01
—
530895
PETERSEN-KS LICENSE #
KS
Enumeration date
08/31/2005
Last updated
06/21/2018
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