| 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  |