GRACEMED DOWNING CHILDREN CLINIC (NPI# 1043646870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043646870 |
| Entity Type | Organization |
| Organization Name | GRACEMED DOWNING CHILDREN CLINIC |
| Practice Address |
2201 E 25th St N Building 200 Wichita KS 67219-4714 |
| Mailing Address |
1122 N Topeka St Wichita KS 67214-2810 |
| Practice Telephone | 3168662000 |
| Practice Fax Number | 3168662084 |
| Mailing Telephone | 3168662000 |
| Mailing Fax Number | 3168662084 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | MR. DAVID C SANFORD (CEO) |
| Authorized Official Telephone | 3168662001 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRACEMED HEALTH CLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100212250A | 05 |
| Street Address |
2201 E 25TH ST N BUILDING 200 |
| City | WICHITA |
| State | KS |
| Zip Code | 67219-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710478672 | Faith Obiero | Nurse Practitioner | 425 E 61st St N Ste 2, Park City, KS 67219 | 2018-05-25 |
| 1790883734 | Wendy D Reynolds | Dentist | 410 E. 61st St. N., Wichita, KS 67219 | 2006-09-21 |
| 1235237272 | Wendy D. Reynolds, D.d.s. | Dentist | 410 E. 61st St. N., Wichita, KS 67219 | 2006-09-21 |
| 1760592000 | Leekers Valley Center Inc | Pharmacy | 6223 N Broadway, Leekers Family Pharmacy, Wichita, KS 67219-1194 | 2006-08-30 |
| 1093320475 | Sandra Lynn Massey | Preventive Medicine | 6652 N Scottsville St, Park City, KS 67219-1525 | 2020-09-11 |
| 1518359678 | Shaundrieka Quatice Townes | Social Worker | 6515 N Wendell St, Park City, KS 67219-1742 | 2015-02-26 |
| 1538685326 | Uraina Storey | Registered Nurse | 6515 N Wendell St, Park City, KS 67219-1742 | 2017-08-14 |
| 1790300499 | Able Care Mobile Therapy LLC | Occupational Therapist | 2546 E Ventnor St, Park City, KS 67219-1751 | 2020-06-09 |
| 1821577693 | Truespeak LLC | Speech-Language Pathologist | 6644 N Poston St, Park City, KS 67219-1767 | 2018-08-12 |
| 1285100388 | Sean Hess | Speech-Language Pathologist | 6644 N Poston St, Park City, KS 67219-1767 | 2018-10-17 |
| Find all providers in zip 67219 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1992113898 | Gracemed Health Clinic, Inc | Clinic/Center | 5000 S Clifton Ave Ste 200, Wichita, KS 67216-3408 | 2014-07-24 |
| 1356777114 | Gracemed Healthy Family Clinic | Clinic/Center | 1905 S Laura St, Wichita, KS 67211-4422 | 2013-09-24 |
| 1912333774 | Gracemed Evergreen Family Clinic | Clinic/Center | 2700 N Woodland St, Wichita, KS 67204-5158 | 2013-09-24 |
| 1952651713 | Gracemed Health Clinic, Inc | Clinic/Center | 4910 W 1st St N, Wichita, KS 67212-2341 | 2012-09-19 |
| 1174690796 | Hunter Health Clinic, Inc | Clinic/Center | 935 N Market St, Wichita, KS 67214-3521 | 2006-11-29 |
| 1265508337 | Hunter Health Clinic, Inc | Clinic/Center | 238 N Waco St, Wichita, KS 67202-1108 | 2006-11-28 |
| 1841759453 | Hunter Health Clinic, Inc | Clinic/Center | 402 E 2nd St N, Wichita, KS 67202-2504 | 2019-03-14 |
| 1053770818 | Gracemed Health Clinic, Inc | Clinic/Center | 3417 S Meridian Ave, Wichita, KS 67217-2151 | 2016-02-22 |
| 1861859787 | Gracemed Health Clinic, Inc | Clinic/Center | 1919 N Amidon Ave, Suite 100, Wichita, KS 67203-2117 | 2016-01-22 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.