1356455752 NPI number — EMERGENCY MEDICINE CARE LLC

Table of content: (NPI 1356455752)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356455752 NPI number — EMERGENCY MEDICINE CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMERGENCY MEDICINE 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:
1356455752
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 716
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66201-0716
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-642-4900
Provider Business Mailing Address Fax Number:
913-381-0979

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20333 W 151ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLATHE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66061-5350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-791-4357
Provider Business Practice Location Address Fax Number:
913-791-4435
Provider Enumeration Date:
08/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PAULS
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
W
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
913-642-4900

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 200554450A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 15230037 . This is a "BCBS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: CJ2355 . This is a "RR MEDICARE" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 1356455752 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 012487100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com