GRACEMED HEALTH CLINIC, INC (NPI# 1285083469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285083469 |
Entity Type | Organization |
Organization Name | GRACEMED HEALTH CLINIC, INC |
Other Organization Name | GRACEMED HIGHLAND PARK FAMILY CLINIC |
Practice Address |
2025 Se California Ave Topeka KS 66607-1443 |
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 | 2016-06-08 |
Last Update Date | 2016-06-08 |
Authorized Official Name | MR. DAVID C SANFORD (CEO) |
Authorized Official Telephone | 3168662001 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
GraceMed Highland Park Family Clinic | Doing Business As Name - Organization |
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 |
1952651713 | Gracemed Health Clinic, Inc | Clinic/Center | 4910 W 1st St N, Wichita, KS 67212-2341 | 2012-09-19 |
1568947737 | Gracemed Health Clinic, Inc | Clinic/Center | 101 E Ross St, Clearwater, KS 67026-7824 | 2018-10-03 |
1437697174 | Gracemed Health Clinic, Inc | Pharmacy | 1122 N Topeka St, Wichita, KS 67214-2810 | 2017-02-02 |
1871035709 | Gracemed Health Clinic, Inc | Clinic/Center | 322 N Main St, Suite 100, Mcpherson, KS 67460-4308 | 2016-11-09 |
1194174482 | Gracemed Health Clinic, Inc | Clinic/Center | 1615 Sw 8th Ave, Topeka, KS 66606-1633 | 2016-06-07 |
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 |
1730575069 | Gracemed Health Clinic, Inc | Clinic/Center | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2015-04-14 |
Street Address |
2025 SE CALIFORNIA AVE |
City | TOPEKA |
State | KS |
Zip Code | 66607-1443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831285808 | Joyce M Allen | Internal Medicine | 2025 Se California Ave, Topeka, KS 66607-1443 | 2006-10-05 |
1992350888 | Angela Treanor | Registered Nurse | 2025 Se California Ave, Topeka, KS 66607-1443 | 2019-08-07 |
1689027211 | Hayley Golden | Physician Assistant | 2025 Se California Ave, Topeka, KS 66607-1443 | 2016-07-19 |
1306133749 | Lance Jepson | Pediatrics | 2025 Se California Ave, Topeka, KS 66607-1443 | 2011-07-06 |
1750562971 | Steven Stiel | Social Worker | 2025 Se California Ave, Topeka, KS 66607-1443 | 2007-11-15 |
1538204581 | Sara Louise Wolff Riehn | Nurse Practitioner | 2025 Se California Ave, Topeka, KS 66607-1443 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497105829 | Second Chance Services | Community/Behavioral Health | 501 Se Jefferson St Ste 32, Topeka, KS 66607-1173 | 2016-06-16 |
1750753026 | Life Connections | Social Worker | 305 Se 17th St, Suite C, Topeka, KS 66607-1266 | 2015-10-27 |
1609170836 | Sherry Clayton | Social Worker | 305 Se 17th St Ste C, Topeka, KS 66607-1266 | 2011-01-03 |
1205201043 | Kristin Menkveld | Social Worker | 305 Se 17th St, Suite C, Topeka, KS 66607-1266 | 2015-12-04 |
1114330115 | Lauren Fager | Nurse Practitioner | 620 Se Madison St, Topeka, KS 66607-1299 | 2014-06-06 |
1164651246 | Mid West Treatment and Recovey | Clinic/Center | 1921 Se Indiana Ave, Topeka, KS 66607-1425 | 2009-07-09 |
1730276924 | Thi of Kansas At Highland Park, LLC | Skilled Nursing Facility | 1821 Se 21st St, Topeka, KS 66607-1437 | 2006-10-07 |
1821305756 | Lori J Garcia | Skilled Nursing Facility | 1821 Se 21st St, Topeka, KS 66607-1437 | 2010-09-14 |
1487887659 | Heather Helton | Occupational Therapist | 1821 Se 21st St, Topeka, KS 66607-1437 | 2009-09-03 |
1679692990 | Pamela Roschel Robinett-ebert | Physical Therapist | 1821 Se 21st St, Topeka, KS 66607-1437 | 2007-03-28 |
Find all providers in zip 66607 |
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 |
---|---|---|---|---|
1194174482 | Gracemed Health Clinic, Inc | Clinic/Center | 1615 Sw 8th Ave, Topeka, KS 66606-1633 | 2016-06-07 |
1104209741 | Department of Veteran Affairs | Clinic/Center | 2200 Sw Gage Blvd, Attn: Hud-vash, Topeka, KS 66622-0001 | 2015-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235773714 | Health Partnership Clinic, Inc. | Clinic/Center | 14545 W 127th St, Olathe, KS 66062-1486 | 2019-10-29 |
1235794710 | Turner House Clinic Inc | Clinic/Center | 2501 Minnesota Ave, Kansas City, KS 66102-4021 | 2019-05-09 |
1730669664 | Turner House Clinic Inc | Clinic/Center | 2123 Ruby Ave, Kansas City, KS 66106 | 2018-08-20 |
1942718945 | Health Partnership Clinic, Inc. | Clinic/Center | 6100 Mastin St, Merriam, KS 66203-3252 | 2018-01-12 |
1225552342 | Flint Hills Community Health Center, Inc | Clinic/Center | 1500 Sw Boulevard, Madison, KS 66860-8054 | 2017-07-31 |
1609224658 | United Methodist Western Kansas Mexican-american Ministries, Inc. | Clinic/Center | 113a S Main St, Ulysses, KS 67880-2519 | 2016-06-01 |
1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
1548636665 | First Care Clinic, Inc. | Clinic/Center | 208 Marc Wagner Dr, Victoria, KS 67671-9589 | 2015-08-12 |
1992113898 | Gracemed Health Clinic, Inc | Clinic/Center | 5000 S Clifton Ave Ste 200, Wichita, KS 67216-3408 | 2014-07-24 |
1043646870 | Gracemed Downing Children Clinic | Clinic/Center | 2201 E 25th St N, Building 200, Wichita, KS 67219-4714 | 2013-09-25 |
Find all providers with the same taxonomy |
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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.