Evergreen Wellnes Center

NPI No. 1811276405 - Point of Service

 

Contacts & Locations

Practice Address

  • 9235 E Harry St
    Wichita, Kansas 67207, US
  • Phone: (316) 691-8811
  • Fax: (316) 691-8868

Office Address

  • 9235 E Harry St
    Wichita, Kansas 67207, US
  • Phone: (316) 691-8811
  • Fax: (316) 691-8868

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Evergreen Wellnes Center Information

Evergreen Wellnes Center is registered as an Organization entity type. Evergreen Wellnes Center NPI is 1811276405. You can also contact Evergreen Wellnes Center via phone number (316) 691-8811. The provider is listed as Point of Service.

About NPI No.

  • NPI: 1811276405 (Organization)
  • Name: Evergreen Wellnes Center
  • Organization: Hospitals, home health agencies, ambulance companies, health maintenance organizations, durable medical equipment suppliers, pharmacies, etc.
  • Taxonomy

  • Taxonomy code: 305S00000X
  • Taxonomy specialization: Point of Service
  • Primary taxonomy: Yes
  • License

  • License number: 2003012552
  • License state: Missouri State License
  • Enumeration date: August 12, 2011
  • Last Update date: August 12, 2011

Authorized Official

  • Dr. Qizhi Gao
  • Title: President
  • Phone: (913) 871-6308

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