Provider Demographics
NPI:1417276791
Name:HOUSE CALL MEDICAL SERVICES
Entity type:Organization
Organization Name:HOUSE CALL MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWNELE
Authorized Official - Middle Name:D
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:316-393-5256
Mailing Address - Street 1:5721 N ATHENIAN AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67204-1844
Mailing Address - Country:US
Mailing Address - Phone:316-722-2138
Mailing Address - Fax:800-764-6095
Practice Address - Street 1:5721 N ATHENIAN AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67204-1844
Practice Address - Country:US
Practice Address - Phone:316-393-5256
Practice Address - Fax:866-316-4467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1375628121363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty