Provider Demographics
NPI:1740257195
Name:MEDICAL ASSOCIATES OF MANHATTAN, PA
Entity type:Organization
Organization Name:MEDICAL ASSOCIATES OF MANHATTAN, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-537-2651
Mailing Address - Street 1:PO BOX 1188
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66505-1188
Mailing Address - Country:US
Mailing Address - Phone:785-537-2651
Mailing Address - Fax:785-537-2975
Practice Address - Street 1:1133 COLLEGE AVE
Practice Address - Street 2:SUITE E-110
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2770
Practice Address - Country:US
Practice Address - Phone:785-537-2651
Practice Address - Fax:785-537-2975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2007-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS003758Medicare ID - Type UnspecifiedGROUP