Richard Moore in Wichita - Addiction (substance Use Disorder)
Richard Moore - NPI 1619920790
Richard Moore is a Addiction (substance Use Disorder) in Wichita, Kansas. Richard Moore practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Richard Moore is 1619920790. The last update date is 2007-07-08.
Richard Moore's current location address is 635 N Main St, Wichita, Kansas. You can contact this provider via phone number 3166607600 and fax number 3163837925. The mailing address for Richard Moore is 635 N Main St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Moore |
|---|---|
| Address | 635 N Main St, Wichita, Kansas |
| Phone Number | 3166607600 |
| Fax Number | 3163837925 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619920790 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 635 N Main St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672033602 |
| Phone Number | 3166607600 |
| Fax Number | 3163837925 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 10590 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the Richard Moore's unique identification number?
The Richard Moore has been assigned the NPI (National Provider Identifier) Number 1619920790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Richard Moore?
The Richard Moore is physically situated at 635 N Main St, in the city of Wichita, state of KS, with the postal code 672033602.
What is Richard Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Moore's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Richard Moore receive the assignment of its 1619920790 from the Centers for Medicare & Medicaid Services?
The Richard Moore was issued its 1619920790 by the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the information regarding Richard Moore most recently updated?
The details pertaining to the Richard Moore, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.