Provider Demographics
NPI:1831907252
Name:SEASON HEALTH LLC
Entity type:Organization
Organization Name:SEASON HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER LLC
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:V
Authorized Official - Last Name:EASON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:316-841-6861
Mailing Address - Street 1:535 S EMPORIA AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-4534
Mailing Address - Country:US
Mailing Address - Phone:316-841-6861
Mailing Address - Fax:316-854-9673
Practice Address - Street 1:535 S EMPORIA AVE STE 103
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-4534
Practice Address - Country:US
Practice Address - Phone:316-841-6861
Practice Address - Fax:316-854-9673
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEASON HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-19
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty