Freestate

LBN: Freestate Health Pllc
Freestate is an health care organization with primary practice located at 4723 E Douglas Ave , Wichita KS 67218-1012. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Freestate Health Pllc can be contacted via phone (888) 505-1776, or through Yaghmai, Elisha via phone (888) 505-1776.

Contact Information

Primary practice address
4723 E Douglas Ave Wichita KS 67218-1012
Phone: (888) 505-1776
Fax: (888) 505-1776
Website:
Map and Directions
Authorized official contact:
Name: Yaghmai, Elisha MD, MPH&TM
Phone: (888) 505-1776

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-33447 Kansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-33447 Kansas
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 04-33447 Kansas

Profile Details

NPI number 1013441930
LBN Legal business name Freestate Health Pllc
DBA Doing business as Freestate
Authorized official Yaghmai, Elisha MD, MPH&TM
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2017
Last updated Apr 18th, 2017 - about 9 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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