Provider Demographics
NPI:1275541682
Name:BAILEY TOTAL HEALTH, INC.
Entity Type:Organization
Organization Name:BAILEY TOTAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-733-1440
Mailing Address - Street 1:311 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-9615
Mailing Address - Country:US
Mailing Address - Phone:316-733-1440
Mailing Address - Fax:316-733-8737
Practice Address - Street 1:311 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9615
Practice Address - Country:US
Practice Address - Phone:316-733-1440
Practice Address - Fax:316-733-8737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS104404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS55869OtherMEDICARE
KS660180Medicare PIN
KS055869Medicare ID - Type Unspecified
KSU64084Medicare UPIN