OrganizationActive
Gracemed Health Clinic, Inc
NPI 1730575069 · Federally Qualified Health Center (FQHC) · Wichita, KS
Provider details
- NPI number
- 1730575069
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Elder, Ceo(316) 866-2066
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3610 E Ross Pkwy
Wichita, KS 67210-1311
Phone: (316) 866-2000
Fax: (316) 866-2084
Approximate (ZIP-level) locationGet directions
Mailing address
1150 N Broadway Ave
Wichita, KS 67214-2805
Other names (DBA / former)
- Doing business as
- Gracemed Jardine Family Clinic
- Doing business as
- Gracemed Jardine Family Clinic
Registry dates
- Enumerated
- 2015-04-14
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.