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NPI Code Detail

MEDICARE: JAYHAWK HEALTHCARE LLC

MEDICARE: JAYHAWK HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician
22083X0100XOccupational Medicine Physician
3207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1144044000OTHERDEPT OF LABOR
222360023OTHERKSBC/BS OF KC
3110384OTHERKSBC/BS OF KS

General Provider Information

NPI Number : 1205889169
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAYHAWK HEALTHCARE LLC
Provider Business Mailing Address
First Line : PO BOX 3727
Second Line :
City : LAWRENCE
State : KS
Zip : 66046-0727
Country : US
Telephone Number : 785-838-1500
Fax Number :
Provider Business Practice Location Address
First Line : 3511 CLINTON PL
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-2196
Country : US
Telephone Number : 785-838-1500
Fax Number :
Authorized Official
Title or Position : PRESIDENT OWNER
Name : MICHAEL GEIST
Credential : MD
Telephone Number : 785-838-1500
Provider Enumeration Date : 05/19/2006
Last Update Date : 12/17/2010

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Directions to “JAYHAWK HEALTHCARE LLC ” Practice Location

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