Provider Demographics
NPI:1720406648
Name:UNITED METHODIST WESTERN KANSAS MEXICAN AMERICAN MINISTRIES, INC.
Entity Type:Organization
Organization Name:UNITED METHODIST WESTERN KANSAS MEXICAN AMERICAN MINISTRIES, INC.
Other - Org Name:UNITED METHODIST MEXICAN AMERICAN MINISTRIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-275-1766
Mailing Address - Street 1:712 SAINT JOHN ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-5128
Mailing Address - Country:US
Mailing Address - Phone:620-275-1766
Mailing Address - Fax:620-275-4729
Practice Address - Street 1:1700 AVENUE F
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-4541
Practice Address - Country:US
Practice Address - Phone:620-225-6821
Practice Address - Fax:620-225-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-29
Last Update Date:2014-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty