Provider Demographics
NPI:1447598511
Name:MAYFLOWER CLINIC INC
Entity Type:Organization
Organization Name:MAYFLOWER CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-259-5927
Mailing Address - Street 1:401 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-2501
Mailing Address - Country:US
Mailing Address - Phone:316-558-3991
Mailing Address - Fax:316-558-3992
Practice Address - Street 1:401 E 1ST ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-2501
Practice Address - Country:US
Practice Address - Phone:316-558-3991
Practice Address - Fax:316-558-3992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0429452OtherCHARITY