| Mayflower Clinic Inc | |
|
401 E 1st St Wichita KS 67202-2501 | |
| (316) 558-3991 | |
| (316) 558-3992 |
| Full Name | Mayflower Clinic Inc |
|---|---|
| Speciality | Voluntary or Charitable |
| Location | 401 E 1st St, Wichita, Kansas |
| Authorized Official Name and Position | Chelsea French (CEO) |
| Authorized Official Contact | 3162595927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayflower Clinic Inc 401 E 1st St Wichita KS 67202-2501 Ph: (316) 558-3991 | Mayflower Clinic Inc 401 E 1st St Wichita KS 67202-2501 Ph: (316) 558-3991 |
| NPI Number | 1447598511 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 2365807948 |
|---|---|
| Medicare Enrollment ID | O20230504000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447598511 | NPI | - | NPPES |
| 0429452 | Other | KS | CHARITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
| Provider Name | Nizar D Kibar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124096300 PECOS PAC ID: 0042244089 Enrollment ID: I20050920000751 |
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