Lifeline Stop Smoking Clinic, Llc

LBN: Lifeline Stop Smoking Clinic, Llc
Lifeline Stop Smoking Clinic, Llc is an health care organization with primary practice located at 650 N Carriage Pkwy Suite 135, Wichita KS 67208-4507. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Lifeline Stop Smoking Clinic, Llc can be contacted via phone (316) 640-0804, or through Scanlan, Timothy via phone (316) 640-0804.

Contact Information

Primary practice address
650 N Carriage Pkwy Suite 135 Wichita KS 67208-4507
Phone: (316) 640-0804
Fax: (316) 685-8247
Website:
Map and Directions
Authorized official contact:
Name: Scanlan, Timothy Doctor of Medicine (MD)
Phone: (316) 640-0804

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 17663 Kansas

Profile Details

NPI number 1477632578
LBN Legal business name Lifeline Stop Smoking Clinic, Llc
DBA Doing business as
Authorized official Scanlan, Timothy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1477632578 NPPES
Kansas Other 103516 BCBS NON-PAR. PROVIDER #

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