Midwest Family Health

LBN: Midwest Family Health Of Russell Llc
Midwest Family Health is an health care organization with primary practice located at 208 S Fossil St , Russell KS 67665-3021. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Midwest Family Health Of Russell Llc can be contacted via phone (785) 483-2119, or through Ricker, Stacie via phone (785) 540-4143.

Contact Information

Primary practice address
208 S Fossil St Russell KS 67665-3021
Phone: (785) 483-2119
Fax: (785) 483-2248
Website:
Map and Directions
Authorized official contact:
Name: Ricker, Stacie
Phone: (785) 540-4143

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2-13248 Kansas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1639510217
LBN Legal business name Midwest Family Health Of Russell Llc
DBA Doing business as Midwest Family Health
Authorized official Ricker, Stacie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2013
Last updated Nov 22nd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639510217 NPPES
Kansas MEDICAID 201074650A
Kansas Other 2141160
Kansas MEDICAID 201074650B

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