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Contact Information

HOLY FAMILY MEDICAL INC
144 S HILLSIDE ST
WICHITA, KS67211-2154
 Phone: 316-682-9900
 Fax: 316-682-0311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HOLY FAMILY MEDICAL INC

NPI # 1215593249
LBN Legal business name HOLY FAMILY MEDICAL INC
Authorized official BRENDA THANEL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2019
Last updated 06/10/2021 - About 5 years ago
Identifiers n/a
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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