Gracemed Jardine Family Clinic

LBN: Gracemed Health Clinic, Inc
Gracemed Jardine Family Clinic is an health care organization with primary practice located at 3610 E Ross Pkwy , Wichita KS 67210-1311. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Gracemed Health Clinic, Inc can be contacted via phone (316) 866-2000, or through Lee, Venus via phone (316) 866-2064.

Contact Information

Primary practice address
3610 E Ross Pkwy Wichita KS 67210-1311
Phone: (316) 866-2000
Fax: (316) 866-2084
Website:
Map and Directions
Authorized official contact:
Name: Lee, Venus
Phone: (316) 866-2064

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1730575069
LBN Legal business name Gracemed Health Clinic, Inc
DBA Doing business as Gracemed Jardine Family Clinic
Authorized official Lee, Venus
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2015
Last updated Feb 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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