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Contact Information

MOC WICHITA LLC
7057 W VILLAGE CIRCLE
WICHITA, KS67205
 Phone: 317-582-6932
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for MOC WICHITA LLC

NPI Number 1962940288
LBN Legal business name MOC WICHITA LLC
Authorized official ANDY VAN ZEE - (AUTHORIZED REPRESENTATIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2017
Last updated 02/07/2017 - About 9 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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