Organization · Type 2 NPI

Gracemed Health Clinic, Inc

Federally Qualified Health Center (FQHC) · Wichita, KS

NPI number 1659631695 Active

Practice location

3701 E 13th St N
Wichita, KS 67208-2086

Call (316) 866-2000 Map

Fax (316) 866-2084

Mailing address

1150 N Broadway Ave
Wichita, KS 67214-2805

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

The Good Samaritan-A Family Health Care Facility, IncFamily Medicine Physician Wichita, KS NPI 1770536401
World Impact, Inc.Family Medicine Physician Wichita, KS NPI 1023258266
Deborah Ruffin, APRNFamily Nurse Practitioner Wichita, KS NPI 1861345795
Gail L. BoaldinFamily Nurse Practitioner Wichita, KS NPI 1568989341
Makayla Denise HardingFamily Nurse Practitioner Wichita, KS NPI 1790465128

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NPI record

NPI: 1659631695
Entity type: Organization (Type 2)
Issued: May 24, 2012
Last updated: Sep 8, 2025
Status: Active

Other names

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Gracemed Good Samaritan Clinic · doing business as
Gracemed Good Samaritan Clinic · doing business as

Authorized official

Julie Elder, DO
CEO
(316) 866-2066

Verify this record

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About NPI 1659631695

Gracemed Health Clinic, Inc's National Provider Identifier is 1659631695, issued on May 24, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Wichita, KS. The record was last updated on Sep 8, 2025.