Carondelet Family Medical Care

LBN: Carondelet Physician Services, Inc
Carondelet Family Medical Care is an health care organization with primary practice located at 930 Carondelet Dr Suite 304, Kansas City MO 64114-4855. 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) 943-7777, or through Cleary, Steven R via phone (816) 943-2819.

Contact Information

Primary practice address
930 Carondelet Dr Suite 304 Kansas City MO 64114-4855
Fax: (816) 943-7778
Website:
Authorized official contact:
Name: Cleary, Steven R

Health care specialties

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

Profile Details

NPI number 1982018719
LBN Legal business name Carondelet Physician Services, Inc
DBA Doing business as Carondelet Family Medical Care
Authorized official Cleary, Steven R
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 19th, 2014
Last updated Jun 19th, 2014 - about 12 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 1982018719 NPPES
Other 39532013 BCBS OF KANSAS CITY
MEDICAID 501269500 BCBS OF KANSAS CITY

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