OHAEBOSIM MEDICAL CLINIC INC NPI 1497829261

NPI Information

NPI: 1497829261
Provider Name: OHAEBOSIM MEDICAL CLINIC INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2810 E 21ST STREET
WICHITA, KS
ZIP 67214
Phone: (316) 681-1901
Get Directions

OHAEBOSIM MEDICAL CLINIC INC 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. OHAEBOSIM MEDICAL CLINIC INC NPI is 1497829261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2810 E 21ST STREET
WICHITA, KS
ZIP 67214-252
Phone: (316) 681-1901
Fax: (316) 618-7362

The provider's authorized official is Linus C Ohaebosim .
The authorized official title is Owner President and has the following contact phone number (316) 681-1901.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 12/21/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		0516911	KANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4083832	OTHER		AETNA
2	49202	OTHER	KANSAS	BLUE SHIELD
3	049202	MEDICARE ID-TYPE UNSPECIFIED	KANSAS
4	693	OTHER	KANSAS	PHS
5	614790	OTHER		FIRST GUARD
6	100098690A	MEDICAID	KANSAS
7	D66176	MEDICARE UPIN

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »