Provider Demographics
NPI:1346576899
Name:HEALTHY OPTIONS FOR KANSAS COMMUNITIES (HOP), INC.
Entity Type:Organization
Organization Name:HEALTHY OPTIONS FOR KANSAS COMMUNITIES (HOP), INC.
Other - Org Name:HEALTHY OPTIONS FOR PLANEVIEW
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-651-0062
Mailing Address - Street 1:3620 E SUNNYBROOK LN
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67210-1464
Mailing Address - Country:US
Mailing Address - Phone:316-651-0062
Mailing Address - Fax:316-295-2623
Practice Address - Street 1:3620 E SUNNYBROOK LN
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67210-1464
Practice Address - Country:US
Practice Address - Phone:316-651-0062
Practice Address - Fax:316-295-2623
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHY OPTIONS FOR KANSAS COMMUNITIES (HOP), INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health