COCKERELL & MCINTOSH PEDIATRIC URGENT CARE PC NPI 1437180171

NPI Information

NPI: 1437180171
Provider Name: COCKERELL & MCINTOSH PEDIATRIC URGENT CARE PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 26D2107064

Address:
11200 E WINNER RD
INDEPENDENCE, MO
ZIP 64052
Phone: (816) 252-9850
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COCKERELL & MCINTOSH PEDIATRIC URGENT CARE PC is an urgent care clinic center in Independence, MO. COCKERELL & MCINTOSH PEDIATRIC URGENT CARE PC NPI is 1437180171. The provider is registered as an organization entity type.

The provider's business location address is:

11200 E WINNER RD
INDEPENDENCE, MO
ZIP 64052-964
Phone: (816) 252-9850

The provider's authorized official is Bryan E Wood .
The authorized official title is General Manager and has the following contact phone number (816) 228-4770.

The CLIA number assigned to this NPI record is 26D2107064 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 1/31/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202402	OTHER	MISSOURI	FAMILY HEALTH PARTNERS ID
2	4430403	OTHER	MISSOURI	AETNA PROVIDER ID
3	377880	OTHER	MISSOURI	FIRST GUARD ID
4	6606969	OTHER	MISSOURI	UNITED HEALTHCARE ID

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: 11/14/2023

NPI Synchronization or Removal

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