LIFELINE STOP SMOKING CLINIC LLC NPI 1477632578

NPI Information

NPI: 1477632578
Provider Name: LIFELINE STOP SMOKING CLINIC, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
650 N CARRIAGE PKWY
SUITE 135
WICHITA, KS
ZIP 67208
Phone: (316) 640-0804
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LIFELINE STOP SMOKING CLINIC, LLC is a health service clinic center in Wichita, KS. LIFELINE STOP SMOKING CLINIC, LLC NPI is 1477632578. The provider is registered as an organization entity type.

The provider's business location address is:

650 N CARRIAGE PKWY
SUITE 135
WICHITA, KS
ZIP 67208-507
Phone: (316) 640-0804
Fax: (316) 685-8247

The provider's authorized official is Timothy Scanlan .
The authorized official title is Owner/managing Partner and has the following contact phone number (316) 640-0804.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 8/22/2020.

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	261QH0100X	Clinic/Center	Health Service	17663	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	103516	OTHER	KANSAS	BCBS NON-PAR. PROVIDER #

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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