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ENCOMPASS MEDICAL GROUP PA NPI 1770605297


NPI Information

NPI: 1770605297
Provider Name: ENCOMPASS MEDICAL GROUP, PA

Doing Business As: ENCOMPASS MEDICAL GROUP URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 26D0886746

Address:
373 W 101ST TER
KANSAS CITY, MO
ZIP 64114
Phone: (816) 942-8200
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ENCOMPASS MEDICAL GROUP, PA is an urgent care clinic center in Kansas City, MO. ENCOMPASS MEDICAL GROUP, PA NPI is 1770605297. The provider is registered as an organization entity type.
The provider Is Doing Business As Encompass Medical Group Urgent Care.

The provider's business location address is:

373 W 101ST TER
KANSAS CITY, MO
ZIP 64114-408
Phone: (816) 942-8200
Fax: (816) 942-0531

The provider's authorized official is Dayna L Hodgden .
The authorized official title is Ceo and has the following contact phone number (913) 495-2046.

The CLIA number assigned to this NPI record is 26D0886746 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.


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
1261QU0200XClinic/CenterUrgent CareNAYes
22085R0202XRadiologyDiagnostic RadiologyX
3208000000XPediatricsX
4208D00000XGeneral PracticeX
5207Q00000XFamily MedicineX
6207RC0000XInternal MedicineCardiovascular DiseaseX

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
1261QUO200XCLINICOTHERTAXONOMY CODE

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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