MEDICARE: GRANDVIEW HEALTH CARE CLINIC 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
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811943145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRANDVIEW HEALTH CARE CLINIC LLC

Provider Business Mailing Address
First Line	:	2000 HEALTH PARK DR
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4692
Country	:	US
Telephone Number	:	615-373-7406
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 MAIN ST
Second Line	:
City	:	GRANDVIEW
State	:	MO
Zip	:	64030-2477
Country	:	US
Telephone Number	:	816-765-8900
Fax Number	:

Authorized Official
Title or Position	:	GROUP VICE PRESIDENT
Name	:	BENJAMIN CALKINS
Credential	:
Telephone Number	:	615-372-6536

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	11/21/2025

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