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CENTERWELL SENIOR PRIMARY CARE (MO) PC NPI 1538712724


NPI Information

NPI: 1538712724
Provider Name: CENTERWELL SENIOR PRIMARY CARE (MO) PC

Doing Business As: CENTERWELL SENIOR PRIMARY CARE -GRANDVIEW

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D2171042

Address:
1513 MAIN ST
GRANDVIEW, MO
ZIP 64030
Phone: (816) 731-1890
Get Directions

CENTERWELL SENIOR PRIMARY CARE (MO) PC is a family medicine in Grandview, 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. CENTERWELL SENIOR PRIMARY CARE (MO) PC NPI is 1538712724. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centerwell Senior Primary Care -grandview.

The provider's business location address is:

1513 MAIN ST
GRANDVIEW, MO
ZIP 64030-515
Phone: (816) 731-1890
Fax: (833) 996-1159

The provider's authorized official is Erica Lache' Savage-jeter .
The authorized official title is Regional Medical Director and has the following contact phone number (864) 216-4620.

The CLIA number assigned to this NPI record is 26D2171042 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 10/20/2022.


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
1207R00000XInternal MedicineNo
2208D00000XGeneral PracticeNo
3207Q00000XFamily 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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