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Contact Information

PREFERRED MEDICAL ASSOCIATES
1515 S CLIFTON AVE
STE. 130
WICHITA, KS67218-2900
 Phone: 316-689-5990
 Fax: 316-689-5999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PREFERRED MEDICAL ASSOCIATES

NPI # 1417241902
LBN Legal business name PREFERRED MEDICAL ASSOCIATES
Authorized official SAM WILLIAMS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2011
Last updated 06/02/2011 - About 15 years ago
Identifiers
KS License # 04-31473
KS Medicaid PENDING
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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