HEALING WATERS WICHITA LC
NPI 1407144058
General Practice in Wichita, KS

Active since July 18, 2011
2000 N ROCK RD, SUITE 100, WICHITA, KS 67206(316) 262-2995(316) 262-2546 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healing Waters Wichita Lc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALING WATERS WICHITA LC (NPI 1407144058) is a healthcare organization registered as a general practice in Wichita, Kansas and active in the NPI registry since July 2011. The organization lists Amanda Gorecki, President, as its authorized official.

NPPES Registry Identity

NPI1407144058
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHEALING WATERS WICHITA LC
Location Address2000 N ROCK RD, SUITE 100Wichita, KS 67206-1201
Mailing Address33 Buford Village Way, Suite 325Buford, GA 30518-8843 · (678) 730-7780 · Fax (678) 730-7786
Fax(316) 262-2546
Organization SubpartNo
Authorized OfficialAmanda GoreckiPresident · (316) 262-2995
Enumeration DateJuly 18, 2011
Last NPPES UpdateMarch 30, 2016
NPI 1407144058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2000 N ROCK RD, Wichita, KS 67206

Other Identifiers 3

Medicare PINKA2815KS
Medicaid201097690AKS
Medicaid200468790AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healing Waters Wichita Lc's NPI number?

The NPI number for Healing Waters Wichita Lc is 1407144058. It was assigned to this organization in the NPPES registry on July 18, 2011.

Where is Healing Waters Wichita Lc located?

Healing Waters Wichita Lc is located at 2000 N Rock Rd Suite 100, Wichita, KS 67206. The listed phone number is (316) 262-2995.

What is Healing Waters Wichita Lc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Healing Waters Wichita Lc was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.