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HOLY FAMILY MEDICAL ASSOCIATES LLC NPI 1356649552


NPI Information

NPI: 1356649552
Provider Name: HOLY FAMILY MEDICAL ASSOCIATES LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 17D2174051

Address:
144 S HILLSIDE ST
WICHITA, KS
ZIP 67211
Phone: (316) 682-9900
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HOLY FAMILY MEDICAL ASSOCIATES LLC is a family medicine in Wichita, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HOLY FAMILY MEDICAL ASSOCIATES LLC NPI is 1356649552. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

144 S HILLSIDE ST
WICHITA, KS
ZIP 67211-154
Phone: (316) 682-9900
Fax: (316) 682-0311

The provider's authorized official is Brenda L Thanel .
The authorized official title is Administrator and has the following contact phone number (316) 682-9900.

The CLIA number assigned to this NPI record is 17D2174051 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/11/2011 and was last updated on 12/1/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant15-01433KANSASNo
2363LF0000XNurse PractitionerFamily46183KANSASNo
3363LF0000XNurse PractitionerFamily46056KANSASNo
4363LP0200XNurse PractitionerPediatrics46255KANSASNo
5207Q00000XFamily Medicine04-27664KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1KA2209MEDICARE PINKANSAS
2200716880AMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.