Verdigris Valley Charitable Health Clinic

LBN: Verdigris Valley Christian Fellowship
Verdigris Valley Charitable Health Clinic is an health care organization with primary practice located at 215 E 13Th St , Altoona KS 66710. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Verdigris Valley Christian Fellowship can be contacted via phone (620) 568-2241, or through Raymond, Shawn Eric via phone (620) 330-3922.

Contact Information

Primary practice address
215 E 13Th St Altoona KS 66710
Phone: (620) 568-2241
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raymond, Shawn Eric Advanced Practice Registered Nurse (APRN)
Phone: (620) 330-3922

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X Kansas

Profile Details

NPI number 1962803015
LBN Legal business name Verdigris Valley Christian Fellowship
DBA Doing business as Verdigris Valley Charitable Health Clinic
Authorized official Raymond, Shawn Eric Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2014
Last updated Sep 9th, 2014 - about 12 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 1962803015 NPPES
Kansas MEDICAID 201082230A

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