NPIMap

Organization Active NPI

Interim Health Care of Wichita Inc

Doing business as Interim Health Care

  • Primary Care Clinic/Center
  • Wichita, KS
National Provider Identifier
1447089826
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTERIM HEALTH CARE OF WICHITA INC
Doing business as
Interim Health Care
Practice address
9920 E Harry St
Wichita, KS 67207-5008
Phone
(316) 265-4295
Fax
(316) 265-4399
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jay Morrow Stehley
Title
President
Phone
(316) 265-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

9920 E Harry St
Wichita, KS 67207-5008

Mailing address

9920 E Harry St
Wichita, KS 67207-5008
Phone (316) 265-4295

Other names 1

  • Interim Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241227002818 KS Part B Supplier - Clinic/Group Practice 3870401995 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita, KS

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Interim Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

210 E 30th Ave
Ste 130
Hutchinson, KS 67502
Phone (620) 663-2423

2500 N Main St
Ste F
Hutchinson, KS 67502
Phone (620) 663-2423

525 N Main St
Hutchinson, KS 67501
Phone (620) 663-2423

122 S Main St
Pratt, KS 67124
Phone (620) 770-9181

1005 W South St
Salina, KS 67401
Phone (785) 404-3800

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension Living Via Christi Village RidgeWichita, KS, CCN 175539 Skilled nursing facility Adp of the SNF Mar 8, 2023
Ascension Living Via Christi Village McLeanWichita, KS, CCN 175543 Skilled nursing facility Adp of the SNF Nov 14, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1447089826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075008",
            "telephone_number": "316-265-4295",
            "fax_number": "316-265-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075008",
            "telephone_number": "316-265-4295",
            "fax_number": "316-265-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTH CARE OF WICHITA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "STEHLEY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MORROW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-265-4295"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.