Provider Demographics
NPI:1346332996
Name:E. DIANE STEEVES ENTERPRISES, INC.
Entity Type:Organization
Organization Name:E. DIANE STEEVES ENTERPRISES, INC.
Other - Org Name:NEW MEDICAL HEALTH CARE--HALSTEAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:STEEVES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:316-835-3336
Mailing Address - Street 1:328 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:HALSTEAD
Mailing Address - State:KS
Mailing Address - Zip Code:67056-2014
Mailing Address - Country:US
Mailing Address - Phone:316-835-3336
Mailing Address - Fax:316-835-3701
Practice Address - Street 1:328 POPLAR AVE.
Practice Address - Street 2:
Practice Address - City:HALSTEAD
Practice Address - State:KS
Practice Address - Zip Code:67056-2014
Practice Address - Country:US
Practice Address - Phone:316-835-3336
Practice Address - Fax:316-835-3701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44254261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
R76358Medicare UPIN
160996Medicare ID - Type Unspecified