Guadalupe Clinic, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

GUADALUPE CLINIC, INC.

Practice address

940 S Saint Francis St
Wichita, KS 67211-2335

Phone

(316) 264-8974

Fax

(316) 262-4938

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Marlene M Dreiling, R.N.

Title

Executive Director

Phone

(316) 264-8974

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly R Dixon, PA

  • Physician Assistant
  • Wichita, KS
  • NPI 1093209728
  NPD (past)
• James M. Van Milligen, P.A.

  • Physician Assistant
  • Wichita, KS
  • NPI 1205922176
  NPD (past)

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1710144985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112335",
            "telephone_number": "316-264-8974",
            "fax_number": "316-262-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112335",
            "telephone_number": "316-264-8974",
            "fax_number": "316-262-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "DREILING",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "316-264-8974",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Gruenbacher
• Raymond W Grundmeyer III, M.D.
• Rafeal Grundy
• Matthew Grunewald
• Helen Christina Grzeskiewicz, LCP
• Guardian Pharmacy of Wichita, LLC
• Jeremy L. Guenthner, O.D.
• Mitzi Guerrero Pena, LMFT
• David M. Guerrero, D.D.S.
• Francisca Guerrero, COTA

• Voluntary or Charitable Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Voluntary or Charitable Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.