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NPI Code Detail

MEDICARE: JAYHAWK PRIMARY CARE INC

MEDICARE: JAYHAWK PRIMARY CARE INC
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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1730203894
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAYHAWK PRIMARY CARE INC
Provider Business Mailing Address
First Line : 2330 SHAWNEE MISSION PKWY
Second Line : MEDICAL ADMINISTRATIVE SERVICES OF KU MED. STE. 312
City : WESTWOOD
State : KS
Zip : 66205-2005
Country : US
Telephone Number : 913-588-9000
Fax Number : 913-588-9822
Provider Business Practice Location Address
First Line : 4810 STATE AVE
Second Line : STATE AVENUE URGENT CARE
City : KANSAS CITY
State : KS
Zip : 66102-1748
Country : US
Telephone Number : 913-321-4567
Fax Number : 913-321-6789
Authorized Official
Title or Position : DIRECTOR OF BILLING
Name : STEVEN BROWN
Credential :
Telephone Number : 913-945-5603
Provider Enumeration Date : 03/16/2007
Last Update Date : 11/30/2012

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Directions to “JAYHAWK PRIMARY CARE INC ” Practice Location

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