| Partners In Family Care Llc | |
|
200 E Pack Moundridge KS 67107-0640 | |
| (620) 345-6322 | |
| (620) 345-3038 |
| Full Name | Partners In Family Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 E Pack, Moundridge, Kansas |
| Authorized Official Name and Position | Paul D Ullom-minnich (M.D.) |
| Authorized Official Contact | 6203456322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners In Family Care Llc 200 East Pack Moundridge KS 67107-0640 Ph: (620) 345-6322 | Partners In Family Care Llc 200 E Pack Moundridge KS 67107-0640 Ph: (620) 345-6322 |
| NPI Number | 1417923780 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 2961493242 |
|---|---|
| Medicare Enrollment ID | O20040524001335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417923780 | NPI | - | NPPES |
| 460679 | Medicaid | KS | |
| 100273280A | Medicaid | KS | |
| 110273 | Other | KS | BS GROUP ID NUMBER |
| 460682 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul D Ullom-minnich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326043241 PECOS PAC ID: 2163460775 Enrollment ID: I20050520001053 |
| Provider Name | James D Ratzlaff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235134156 PECOS PAC ID: 7911943352 Enrollment ID: I20050707000245 |
| Provider Name | Marla R Ullom Minnich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073518999 PECOS PAC ID: 1850335118 Enrollment ID: I20091125000256 |
| Provider Name | Annie K Fast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760649693 PECOS PAC ID: 7517137441 Enrollment ID: I20110831000506 |
| Provider Name | Gerhard A Fast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295992121 PECOS PAC ID: 2062682990 Enrollment ID: I20110831000511 |
| Provider Name | Olivia K Gehring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013539592 PECOS PAC ID: 3072938232 Enrollment ID: I20230811000769 |
Valley Hope Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Avenue B, Moundridge, KS 67107 Phone: 620-860-1904 Fax: 620-345-4684 | |
Valley Hope Solutions, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Avenue B, Moundridge, KS 67107 Phone: 620-860-1904 Fax: 620-345-4684 |