Provider Demographics
NPI:1861793549
Name:SUNFLOWER PARTNERS IN HEALTH, LLC
Entity type:Organization
Organization Name:SUNFLOWER PARTNERS IN HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-789-4378
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:MAIZE
Mailing Address - State:KS
Mailing Address - Zip Code:67101-0250
Mailing Address - Country:US
Mailing Address - Phone:316-789-4378
Mailing Address - Fax:
Practice Address - Street 1:2241 N 189TH CIR W
Practice Address - Street 2:
Practice Address - City:COLWICH
Practice Address - State:KS
Practice Address - Zip Code:67030-9728
Practice Address - Country:US
Practice Address - Phone:316-789-4378
Practice Address - Fax:866-316-4467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-11
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty