CENTER FOR CHANGE LLC – NPI #1093349813
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

CENTER FOR CHANGE LLC is a provider located in WICHITA, KS. NPPES has assigned the NPI number 1093349813 to CENTER FOR CHANGE LLC on March 02, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 6 years ago on Oct 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTER FOR CHANGE LLC below.

NPI Profile for
CENTER FOR CHANGE LLC

NPI Number
1093349813
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTER FOR CHANGE LLC
Primary location
933 N TOPEKA ST
WICHITA, KS 67214-3620
Phone: (316) 201-1234 Fax: (316) 201-1673
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREGORY LAKIN
MEDICAL DIRECTOR/AUTHORIZED OFFCIAL
Phone: (316) 640-0601
Updated
Certification Date
Oct 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.