Organization
MEDWISE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES PHAM (COMMUNITY RELATIONS DIRECTOR)
(316) 708-1830
Entity
Organization
Contact information
Practice address
801 W DOUGLAS AVE, WICHITA, KS 67213-4704
(316) 708-1830
Mailing address
PO BOX 8793, WICHITA, KS 67208-0793
(316) 708-1830
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
KS
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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