Provider Demographics
NPI:1356971071
Name:MANAGEMENT WORLDWIDE, LLC
Entity type:Organization
Organization Name:MANAGEMENT WORLDWIDE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBOTTOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-633-1507
Mailing Address - Street 1:13303 W MAPLE
Mailing Address - Street 2:SUITE 139 #103
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67235
Mailing Address - Country:US
Mailing Address - Phone:316-633-1507
Mailing Address - Fax:
Practice Address - Street 1:4415 S HARVARD AVE STE 201
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2618
Practice Address - Country:US
Practice Address - Phone:918-895-9100
Practice Address - Fax:918-731-4521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1811374770OtherNPPES
OK1902822802OtherNPPES
OK1053811273OtherNPPES