University Medical

LBN: Renovo Medical Llc
University Medical is an health care organization with primary practice located at 816 N Campus Dr Suite 500, Garden City KS 67846-6329. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Renovo Medical Llc can be contacted via phone (620) 805-5162, or through Erskin, Joel T via phone (620) 805-5162.

Contact Information

Primary practice address
816 N Campus Dr Suite 500 Garden City KS 67846-6329
Phone: (620) 805-5162
Fax: (620) 805-5183
Website:
Map and Directions
Authorized official contact:
Name: Erskin, Joel T SCD PA-C
Phone: (620) 805-5162

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 0416265 Kansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X KS0434389 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1500265 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 45404 Kansas

Profile Details

NPI number 1083864219
LBN Legal business name Renovo Medical Llc
DBA Doing business as University Medical
Authorized official Erskin, Joel T SCD PA-C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2008
Last updated Mar 5th, 2016 - about 10 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 1083864219 NPPES
Kansas MEDICAID 200063310F
Kansas Other 1669659967
Kansas Other 659930
Kansas Other 055515
Kansas Other 1730135500
Kansas Other 1487634069

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