Provider Demographics
NPI:1477190999
Name:IMMEDIATE MEDICAL CARE, P.A.
Entity Type:Organization
Organization Name:IMMEDIATE MEDICAL CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-440-2565
Mailing Address - Street 1:PO BOX 745
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-0745
Mailing Address - Country:US
Mailing Address - Phone:316-440-2565
Mailing Address - Fax:316-440-2750
Practice Address - Street 1:3560 N MAIZE RD STE 106
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-7393
Practice Address - Country:US
Practice Address - Phone:316-669-3851
Practice Address - Fax:316-260-7292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies