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CARONDELET PHYSICIAN SERVICES INC. NPI 1508157991


NPI Information

NPI: 1508157991
Provider Name: CARONDELET PHYSICIAN SERVICES, INC.

Other Name: ADVANCED FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
801 NW SAINT MARY DR
SUITE 101
BLUE SPRINGS, MO
ZIP 64014
Phone: (816) 988-9998
Get Directions

CARONDELET PHYSICIAN SERVICES, INC. is a family medicine in Blue Springs, MO. 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. CARONDELET PHYSICIAN SERVICES, INC. NPI is 1508157991. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Advanced Family Care.

The provider's business location address is:

801 NW SAINT MARY DR
SUITE 101
BLUE SPRINGS, MO
ZIP 64014-524
Phone: (816) 988-9998
Fax: (816) 988-9997

The provider's authorized official is Steven R Cleary .
The authorized official title is Vp/cfo and has the following contact phone number (816) 943-2819.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 4/20/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine2000151554MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1501269500MEDICAIDMISSOURI
239532013OTHERBCBS OF KANSAS CITY
3Y360000MEDICARE PINMISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.