Advacare Medical Corporation
Organization Active NPI Durable Medical Equipment & Medical Supplies · Wichita, KS
NPI 1629137260 · NPPES record last updated Apr 12, 2012
Key facts
- NPI
- 1629137260
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVACARE MEDICAL CORPORATION
- Practice address
- 938A S Oliver St
Wichita, KS 67218-3216 - Phone
- (316) 440-5550
- Fax
- (316) 440-5552
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Jerel B Stevens, CRTS
- Title
- President
- Phone
- (913) 780-4700
National Provider Directory
Locations
14801 W 117th St
Olathe, KS 66062
Phone (913) 780-4700
1710 SW 10th Ave
Topeka, KS 66604
Phone (785) 235-5200
938A S Oliver Ave
Wichita, KS 67218
Phone (316) 440-5550
938 S Oliver Ave
Wichita, KS 67218
Phone (316) 440-5550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
938A S Oliver St
Wichita, KS 67218-3216
Mailing address
14801 W 117TH St
Olathe, KS 66062-9305
Phone (913) 780-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100441790A | Medicaid | KS |
Other providers in Wichita, KS
- Adolph Chavez Jr Lcmft LLC
- Leona K Adrian
- Scott C Adrian
- Velvet Adrian
- Adrienne a. Vanzandt, LLC
- Advance Medical Transporters
- Advanced Ambulatory Surgery Center LLC
- Advanced Behavioral Health LLC
- Advanced Care Home Plus LLC
- Advanced Case Management Services
All providers in Wichita, KS · Durable Medical Equipment & Medical Supplies in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.