Provider Demographics
NPI:1285701763
Name:FAMILY HEALTH TOPEKA LLC
Entity type:Organization
Organization Name:FAMILY HEALTH TOPEKA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-783-4571
Mailing Address - Street 1:631 SW HORNE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1663
Mailing Address - Country:US
Mailing Address - Phone:785-783-4571
Mailing Address - Fax:785-783-4572
Practice Address - Street 1:631 SW HORNE ST STE 300
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1663
Practice Address - Country:US
Practice Address - Phone:785-783-4571
Practice Address - Fax:785-783-4572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-28283261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care