DCCCA INC NPI 1679691331

NPI Information

NPI: 1679691331
Provider Name: DCCCA, INC

Doing Business As: WOMEN'S RECOVERY CENTER OF CENTRAL KANSAS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
8901 E ORME ST
WICHITA, KS
ZIP 67207
Phone: (316) 262-0505
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DCCCA, INC is a rehabilitation and substance use disorder clinic center in Wichita, KS. DCCCA, INC NPI is 1679691331. The provider is registered as an organization entity type.
The provider Is Doing Business As Women's Recovery Center Of Central Kansas.

The provider's business location address is:

8901 E ORME ST
WICHITA, KS
ZIP 67207-473
Phone: (316) 262-0505
Fax: (316) 262-7384

The provider's authorized official is Kerye J Jackson .
The authorized official title is Cfo and has the following contact phone number (785) 841-4138.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 5/29/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	279	KANSAS	No
2	324500000X	Substance Abuse Rehabilitation Facility				No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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	80	OTHER	KANSAS	BLUE CROSS BLUE SHIELD
2	100106740D	MEDICAID	KANSAS

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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