Cedar Creek Medical Group Llc

LBN: Cedar Creek Medical Group Llc
Cedar Creek Medical Group Llc is an health care organization with primary practice located at 100 Nw Mock Ave , Blue Springs MO 64014-2501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Cedar Creek Medical Group Llc can be contacted via phone (816) 463-6001, or through Kueny, Patrick via phone (816) 463-6001.

Contact Information

Primary practice address
100 Nw Mock Ave Blue Springs MO 64014-2501
Phone: (816) 463-6001
Fax: (816) 463-6004
Website:
Map and Directions
Authorized official contact:
Name: Kueny, Patrick
Phone: (816) 463-6001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1699721951
LBN Legal business name Cedar Creek Medical Group Llc
DBA Doing business as
Authorized official Kueny, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Aug 18th, 2008 - about 18 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 1699721951 NPPES
Kansas MEDICAID 200543790 A
Kansas MEDICAID 500672704

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