Provider Demographics
NPI:1649410903
Name:RHC/F. ALLEN MOORHEAD JR. M.D.
Entity Type:Organization
Organization Name:RHC/F. ALLEN MOORHEAD JR. M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MOORHEAD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:620-325-2200
Mailing Address - Street 1:PO BOX 180
Mailing Address - Street 2:
Mailing Address - City:NEODESHA
Mailing Address - State:KS
Mailing Address - Zip Code:66757-0180
Mailing Address - Country:US
Mailing Address - Phone:620-325-2200
Mailing Address - Fax:620-325-2410
Practice Address - Street 1:709 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEODESHA
Practice Address - State:KS
Practice Address - Zip Code:66757-1634
Practice Address - Country:US
Practice Address - Phone:620-325-2200
Practice Address - Fax:620-325-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1066OtherKANSAS MEDICARE