WICHITA PRIMARY CARE LLC NPI 1164908281

NPI Information

  • NPI: 1164908281
  • Provider Name: WICHITA PRIMARY CARE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 17D2165531
  • Address: 2230 N RIDGE RD
    WICHITA, KS
    ZIP 67205
  • Phone: (316) 448-8339

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NPI Details

WICHITA PRIMARY CARE 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. WICHITA PRIMARY CARE LLC NPI is 1164908281. The provider is registered as an organization entity type.

The provider's business location address is:

2230 N RIDGE RD
WICHITA, KS
ZIP 67205-053
Phone: (316) 448-8339
Fax: (316) 221-7149

The provider's authorized official is Heidi Larison .
The authorized official title is Owner and has the following contact phone number (316) 448-8339.

The CLIA number assigned to this NPI record is 17D2165531 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2018 and was last updated on 1/25/2021.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QP2000XClinic/CenterPhysical TherapyNo
3207Q00000XFamily MedicineYes

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: 11/21/2025

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