Grain Valley Family Physicians

LBN: Carondelet Physician Services, Inc.
Grain Valley Family Physicians is an health care organization with primary practice located at 1454 Sw Eagles Pkwy , Grain Valley MO 64029-8508. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Carondelet Physician Services, Inc. can be contacted via phone (816) 847-2390, or through Cleary, Steven R via phone (816) 943-2819.

Contact Information

Primary practice address
1454 Sw Eagles Pkwy Grain Valley MO 64029-8508
Fax: (816) 847-2392
Website:
Authorized official contact:
Name: Cleary, Steven R

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 106682 Missouri

Profile Details

NPI number 1699040006
LBN Legal business name Carondelet Physician Services, Inc.
DBA Doing business as Grain Valley Family Physicians
Authorized official Cleary, Steven R
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 19th, 2012
Last updated Mar 19th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699040006 NPPES
Other 39532013 BLUE CROSS BLUE SHIELD OF KANSAS CITY
MEDICAID 501269500 BLUE CROSS BLUE SHIELD OF KANSAS CITY

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