Provider Demographics
NPI:1013782945
Name:SUNFLOWER STATE INFUSION CLINIC
Entity type:Organization
Organization Name:SUNFLOWER STATE INFUSION CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:CH
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-228-4750
Mailing Address - Street 1:4601 W 109TH ST STE 208
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1314
Mailing Address - Country:US
Mailing Address - Phone:785-228-4750
Mailing Address - Fax:785-228-4758
Practice Address - Street 1:4601 W 109TH ST STE 208
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1314
Practice Address - Country:US
Practice Address - Phone:785-228-4750
Practice Address - Fax:785-228-4758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy