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JAYHAWK PRIMARY CARE INC NPI 1326383274


NPI Information

NPI: 1326383274
Provider Name: JAYHAWK PRIMARY CARE INC

Doing Business As: STATE AVENUE HEALTH CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4810 STATE AVE
STATE AVENUE HEALTH CARE
KANSAS CITY, KS
ZIP 66102
Phone: (913) 945-9740
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JAYHAWK PRIMARY CARE INC is a family medicine in Kansas City, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JAYHAWK PRIMARY CARE INC NPI is 1326383274. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As State Avenue Health Care.

The provider's business location address is:

4810 STATE AVE
STATE AVENUE HEALTH CARE
KANSAS CITY, KS
ZIP 66102-748
Phone: (913) 945-9740
Fax: (913) 945-9741

The provider's authorized official is Michael Olson .
The authorized official title is Coo and has the following contact phone number (913) 945-9740.

The enumeration date for this NPI number is 12/4/2012 and was last updated on 12/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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