Dccca, Inc Outpatient

LBN: Dccca, Inc
Dccca, Inc Outpatient is an health care organization with primary practice located at 1739 E 23Rd St , Lawrence KS 66046-5017. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Dccca, Inc can be contacted via phone (785) 830-8238, or through Jackson, Kerye J via phone (785) 841-4138.

Contact Information

Primary practice address
1739 E 23Rd St Lawrence KS 66046-5017
Phone: (785) 830-8238
Fax: (785) 830-8246
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Kerye J CPA, CMA
Phone: (785) 841-4138

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1891813614
LBN Legal business name Dccca, Inc
DBA Doing business as Dccca, Inc Outpatient
Authorized official Jackson, Kerye J CPA, CMA
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2007
Last updated May 27th, 2020 - about 5 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 1891813614 NPPES
Kansas Other 4997 BLUE CROSS BLUE SHIELD
Kansas MEDICAID 100106740C BLUE CROSS BLUE SHIELD

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