Organization · Type 2 NPI
Evergreen Wellnes Center
Point of Service · Wichita, KS
NPI number
1811276405
Active
Practice location
9235 E Harry St
Wichita, KS 67207-5073
Fax (316) 691-8868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 2003012552 (MO) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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About NPI 1811276405
Evergreen Wellnes Center's National Provider Identifier is 1811276405, issued on Aug 12, 2011. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Wichita, KS. The record was last updated on Aug 12, 2011.