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WHITE CLOUD HEALTH CENTER LLC NPI 1407327620


NPI Information

NPI: 1407327620
Provider Name: WHITE CLOUD HEALTH CENTER, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 17D1020998

Address:
3349B THRASHER RD
WHITE CLOUD, KS
ZIP 66094
Phone: (785) 595-3450
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WHITE CLOUD HEALTH CENTER, LLC is a clinic center in White Cloud, KS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WHITE CLOUD HEALTH CENTER, LLC NPI is 1407327620. The provider is registered as an organization entity type.

The provider's business location address is:

3349B THRASHER RD
WHITE CLOUD, KS
ZIP 66094-005
Phone: (785) 595-3450
Fax: (785) 595-3493

The provider's authorized official is Jeffrey Dwayne Hicks .
The authorized official title is Ceo and has the following contact phone number (785) 850-1801.

The CLIA number assigned to this NPI record is 17D1020998 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/16/2018.


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
1261Q00000XClinic/CenterYes

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: 5/5/2024

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.