Provider Demographics
NPI:1316796154
Name:CLARITYFIRST PRIMARY CARE
Entity type:Organization
Organization Name:CLARITYFIRST PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARREASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-707-5577
Mailing Address - Street 1:6446 E CENTRAL AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1923
Mailing Address - Country:US
Mailing Address - Phone:501-707-5577
Mailing Address - Fax:888-221-9621
Practice Address - Street 1:4601 EAST DOUGLAS AVE
Practice Address - Street 2:STE 150
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218
Practice Address - Country:US
Practice Address - Phone:501-707-5577
Practice Address - Fax:888-221-9621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty