MEDLEN FAMILY CARE NPI 1740781848

NPI Information

NPI: 1740781848
Provider Name: MEDLEN FAMILY CARE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 17D2144601

Address:
609 BAPTISTE DR STE A
PAOLA, KS
ZIP 66071
Phone: (913) 388-3631
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MEDLEN FAMILY CARE is a primary care clinic center in Paola, KS. MEDLEN FAMILY CARE NPI is 1740781848. The provider is registered as an organization entity type.

The provider's business location address is:

609 BAPTISTE DR STE A
PAOLA, KS
ZIP 66071-334
Phone: (913) 388-3631
Fax: (913) 871-5168

The provider's authorized official is Holly Ann Medlen .
The authorized official title is Owner /operator and has the following contact phone number (913) 388-3631.

The CLIA number assigned to this NPI record is 17D2144601 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2018 and was last updated on 6/29/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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