Organization
GRACEMED HEALTH CLINIC, INC
Active
Parent organization
GRACEMED HEALTH CLINIC, INC
Other names
GraceMed Evergreen Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACEMED HEALTH CLINIC, INC
Authorized official
JULIE ELDER DO (CEO)
(316) 866-2066
Entity
Organization
Contact information
Practice address
1125 W 26TH ST N, WICHITA, KS 67204-5102
(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
09/24/2013
Last updated
09/08/2025
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