| White Cloud Health Center, Llc | |
|
3349b Thrasher Rd White Cloud KS 66094-4005 | |
| (785) 595-3450 | |
| (785) 595-3493 |
| Full Name | White Cloud Health Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3349b Thrasher Rd, White Cloud, Kansas |
| Authorized Official Name and Position | Jeffrey Dwayne Hicks (CEO) |
| Authorized Official Contact | 7858501801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Cloud Health Center, Llc 3349b Thrasher Rd White Cloud KS 66094-4005 Ph: (785) 595-3450 | White Cloud Health Center, Llc 3349b Thrasher Rd White Cloud KS 66094-4005 Ph: (785) 595-3450 |
| NPI Number | 1407327620 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Medicare PECOS PAC ID | 9830437995 |
|---|---|
| Medicare Enrollment ID | O20191021001753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407327620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Hollie M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245739127 PECOS PAC ID: 0345503413 Enrollment ID: I20211028002783 |
| Provider Name | Tanna Blair Kuhnert |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639748627 PECOS PAC ID: 5890181812 Enrollment ID: I20220331000134 |
| Provider Name | Jacob Andrew Bartek |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316308158 PECOS PAC ID: 5092011205 Enrollment ID: I20220829003314 |
| Provider Name | John Michael Feuerbacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669476354 PECOS PAC ID: 8325174188 Enrollment ID: I20221103001491 |
| Provider Name | Steve Sitek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437166303 PECOS PAC ID: 0840309365 Enrollment ID: I20240304001774 |
| Provider Name | April Wamsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578802740 PECOS PAC ID: 4688898588 Enrollment ID: I20240313001340 |
| Provider Name | Tammy Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699215921 PECOS PAC ID: 7416234174 Enrollment ID: I20240626002603 |