Provider Type Icon

PRAIRIE HEALTH AND WELLNESS NPI 1477926301


NPI Information

NPI: 1477926301
Provider Name: PRAIRIE HEALTH AND WELLNESS
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 17D2101389

Address:
12115 E 21ST ST N
SUITE 107
WICHITA, KS
ZIP 67206
Phone: (316) 440-7000
Get Directions

PRAIRIE HEALTH AND WELLNESS is a clinic center in Wichita, 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). PRAIRIE HEALTH AND WELLNESS NPI is 1477926301. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12115 E 21ST ST N
SUITE 107
WICHITA, KS
ZIP 67206-567
Phone: (316) 440-7000
Fax: (316) 440-7006

The provider's authorized official is Jeffrey Davis .
The authorized official title is Owner and has the following contact phone number (316) 440-7000.

The CLIA number assigned to this NPI record is 17D2101389 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2015 and was last updated on 11/23/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175F00000XNaturopath2100037KANSASNo
2261Q00000XClinic/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: 4/28/2024

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.