Guadalupe Clinic, INC.
Voluntary or Charitable in Wichita, KS. Organization (NPI-2).
NPI number1710144985
StatusActive
Last updated in NPPESMay 16, 2008
Details
- NPI
- 1710144985
- Entity type
- Organization (NPI-2)
- Legal business name
- Guadalupe Clinic, INC.
- Organization subpart
- No
- Enumeration date
- May 16, 2008
- Last updated
- May 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251V00000X | Voluntary or Charitable | – | KS | Yes |
Practice location
940 S Saint Francis StWichita, KS 67211-2335
Phone 316-264-8974 · Fax 316-262-4938
Mailing address
940 S Saint Francis StWichita, KS 67211-2335
Phone 316-264-8974 · Fax 316-262-4938
Authorized official
Marlene M Dreiling
Executive Director
3162648974
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