Provider Demographics
NPI:1902941909
Name:RONALD MCDONALD HOUSE OF WICHITA, INC
Entity Type:Organization
Organization Name:RONALD MCDONALD HOUSE OF WICHITA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-269-4182
Mailing Address - Street 1:1110 N EMPORIA ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-2863
Mailing Address - Country:US
Mailing Address - Phone:316-269-4182
Mailing Address - Fax:316-269-0665
Practice Address - Street 1:1110 N EMPORIA ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-2863
Practice Address - Country:US
Practice Address - Phone:316-269-4182
Practice Address - Fax:316-269-0665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)