OrganizationActive
Gracemed Health Clinic, Inc
NPI 1912333774 · Federally Qualified Health Center (FQHC) · Wichita, KS
Provider details
- NPI number
- 1912333774
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Gracemed Health Clinic, Inc
- Organization subpart
- Yes
- Authorized official
- Julie Elder, Ceo(316) 866-2066
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1125 W 26th St N
Wichita, KS 67204-5102
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 Evergreen Family Clinic
Registry dates
- Enumerated
- 2013-09-24
- 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.