Healthcare Provider Details

I. General information

NPI: 1144416082
Provider Name (Legal Business Name): OHS-COMPCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 09/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 BROADWAY ST
KANSAS CITY MO
64108-1208
US

IV. Provider business mailing address

920 MAIN ST STE 300
KANSAS CITY MO
64105-2017
US

V. Phone/Fax

Practice location:
  • Phone: 816-842-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BERNIE POPE
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CFO
Phone: 816-559-6369