Healthcare Provider Details

I. General information

NPI: 1306259387
Provider Name (Legal Business Name): LANSING URGENT CARE AND OCCUPATIONAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2014
Last Update Date: 06/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

844 N MAIN ST
LANSING KS
66043-1305
US

IV. Provider business mailing address

8228 NW WAUKOMIS DR
KANSAS CITY MO
64151-1038
US

V. Phone/Fax

Practice location:
  • Phone: 816-838-9923
  • Fax: 816-584-9923
Mailing address:
  • Phone: 816-838-9923
  • Fax: 816-584-9923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIE ANN BEARCE
Title or Position: FAMILY NURSE PRACTITIONER
Credential: ARNP
Phone: 816-838-9923