1013395235 NPI number — BANNISTER INTERNAL MEDICINE CLINIC

Table of content: (NPI 1013395235)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013395235 NPI number — BANNISTER INTERNAL MEDICINE CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BANNISTER INTERNAL MEDICINE CLINIC
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:
6
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:
1013395235
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9520 JAMES A REED RD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64134-1689
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-599-6317
Provider Business Mailing Address Fax Number:
816-599-6319

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9520 JAMES A REED RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64134-1689
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-599-6317
Provider Business Practice Location Address Fax Number:
816-599-6319
Provider Enumeration Date:
05/07/2015

Additional Information

Authorized Official

Authorized Official Last Name:
KHAN
Authorized Official First Name:
FATIMA
Authorized Official Middle Name:
H
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
816-599-6317

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  2010019768 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1881914034 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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