Provider Demographics
NPI:1558879320
Name:OLATHE HEALTH PHYSICIANS, INC.
Entity Type:Organization
Organization Name:OLATHE HEALTH PHYSICIANS, INC.
Other - Org Name:OLATHE HEALTH CARE EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/QUALITY & COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:WIENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-791-4459
Mailing Address - Street 1:20333 W 151ST ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5350
Mailing Address - Country:US
Mailing Address - Phone:913-791-4200
Mailing Address - Fax:913-791-4458
Practice Address - Street 1:830 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030
Practice Address - Country:US
Practice Address - Phone:913-390-6666
Practice Address - Fax:913-856-4330
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OLATHE HEALTH PHYSICIANS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-16
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty