GUADALUPE CLINIC INC. NPI 1710144985

NPI Information

NPI: 1710144985
Provider Name: GUADALUPE CLINIC, INC.
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization

CLIA Number: 17D2067435

Address:
940 S SAINT FRANCIS ST
WICHITA, KS
ZIP 67211
Phone: (316) 264-8974
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GUADALUPE CLINIC, INC. is a voluntary or charitable in Wichita, KS. GUADALUPE CLINIC, INC. NPI is 1710144985. The provider is registered as an organization entity type.

The provider's business location address is:

940 S SAINT FRANCIS ST
WICHITA, KS
ZIP 67211-335
Phone: (316) 264-8974
Fax: (316) 262-4938

The provider's authorized official is Marlene M Dreiling .
The authorized official title is Executive Director and has the following contact phone number (316) 264-8974.

The CLIA number assigned to this NPI record is 17D2067435 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/16/2008 and was last updated on 5/16/2008.

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	251V00000X	Voluntary or Charitable			KANSAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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