Basic Information
| Provider Information | |||||||||
| NPI: | 1174624605 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TOPEKA HOSPITAL INTERNAL MEDICINE, P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4220 | ||||||||
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| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666040220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852958359 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1700 SW 7TH ST | ||||||||
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| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666061674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852959707 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MCALLISTER | ||||||||
| AuthorizedOfficialFirstName: | RANDALL | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7858358359 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.