| Bhg Xxx, Llc | |
|
1125 N 5th St Kansas City KS 66101-2305 | |
| (913) 348-0888 | |
| (913) 342-2644 |
| Full Name | Bhg Xxx, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1125 N 5th St, Kansas City, Kansas |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Xxx, Llc 5001 Spring Valley Rd Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Bhg Xxx, Llc 1125 N 5th St Kansas City KS 66101-2305 Ph: (913) 348-0888 |
| NPI Number | 1619338696 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 4587097092 |
|---|---|
| Medicare Enrollment ID | O20191213000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619338696 | NPI | - | NPPES |
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