| Align Family Health & Wellness Center Llc | |
|
12616 W 62nd Ter Ste 112 Shawnee KS 66216-1863 | |
| (913) 225-9783 | |
| (913) 215-9358 |
| Full Name | Align Family Health & Wellness Center Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 12616 W 62nd Ter Ste 112, Shawnee, Kansas |
| Authorized Official Name and Position | Patrick Muchina (DIRECTOR) |
| Authorized Official Contact | 9132259783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Family Health & Wellness Center Llc 12616 W 62nd Ter Ste 112 Shawnee KS 66216-1863 Ph: (913) 225-9783 | Align Family Health & Wellness Center Llc 12616 W 62nd Ter Ste 112 Shawnee KS 66216-1863 Ph: (913) 225-9783 |
| NPI Number | 1548991839 |
|---|---|
| Provider Enumeration Date | 06/18/2022 |
| Last Update Date | 06/18/2022 |
| Medicare PECOS PAC ID | 4880065820 |
|---|---|
| Medicare Enrollment ID | O20230130001482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548991839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Patrick Maina Muchina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386258770 PECOS PAC ID: 4587078159 Enrollment ID: I20210122002304 |
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