Provider Demographics
NPI:1891392429
Name:MIDWEST FAMILY HEALTH OF SMITH CENTER LLC
Entity Type:Organization
Organization Name:MIDWEST FAMILY HEALTH OF SMITH CENTER LLC
Other - Org Name:MIDWEST FAMILY HEALTH CLINICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WELTMER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:785-282-3333
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:67661-0608
Mailing Address - Country:US
Mailing Address - Phone:785-686-3333
Mailing Address - Fax:785-686-3071
Practice Address - Street 1:317 E HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:SMITH CENTER
Practice Address - State:KS
Practice Address - Zip Code:66967-9586
Practice Address - Country:US
Practice Address - Phone:785-686-3333
Practice Address - Fax:785-686-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty