Provider Demographics
NPI:1356447189
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:RN, ARNP
Authorized Official - Phone:316-835-3700
Mailing Address - Street 1:126 MAIN ST
Mailing Address - Street 2:PO BOX 55
Mailing Address - City:HALSTEAD
Mailing Address - State:KS
Mailing Address - Zip Code:67056-1708
Mailing Address - Country:US
Mailing Address - Phone:316-835-3700
Mailing Address - Fax:316-835-3701
Practice Address - Street 1:126 MAIN ST
Practice Address - Street 2:
Practice Address - City:HALSTEAD
Practice Address - State:KS
Practice Address - Zip Code:67056-1708
Practice Address - Country:US
Practice Address - Phone:316-835-3700
Practice Address - Fax:316-835-3701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS160996OtherBC BS
R76358Medicare UPIN
KS160996OtherBC BS