1134554447 NPI number — MANHATTAN PRIMARY CARE LLC

Table of content: (NPI 1134554447)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134554447 NPI number — MANHATTAN PRIMARY CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MANHATTAN PRIMARY CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134554447
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1133 COLLEGE AVE STE A211
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANHATTAN
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66502-2751
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-320-5000
Provider Business Mailing Address Fax Number:
888-524-2251

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1133 COLLEGE AVE
Provider Second Line Business Practice Location Address:
BLDG A, SUITE 211
Provider Business Practice Location Address City Name:
MANHATTAN
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66502-2770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-642-4900
Provider Business Practice Location Address Fax Number:
913-381-0979
Provider Enumeration Date:
09/05/2013

Additional Information

Authorized Official

Authorized Official Last Name:
HARRISON
Authorized Official First Name:
BRADLEY
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
AUTHORIZED PARTNER
Authorized Official Telephone Number:
785-340-2598

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3000390801 , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




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