| Carondelet Physician Services Inc. | |
|
220 Nw Rd Mize Rd Suite 101 Blue Springs MO 64014-2527 | |
| (816) 228-9841 | |
| (816) 228-1514 |
| Full Name | Carondelet Physician Services Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 220 Nw Rd Mize Rd, Blue Springs, Missouri |
| Authorized Official Name and Position | Steven R Cleary (CFO) |
| Authorized Official Contact | 8169432819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carondelet Physician Services Inc. 801 Nw Saint Mary Dr Suite 230 Blue Springs MO 64014-2524 Ph: (816) 655-5792 | Carondelet Physician Services Inc. 220 Nw Rd Mize Rd Suite 101 Blue Springs MO 64014-2527 Ph: (816) 228-9841 |
| NPI Number | 1063693232 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 05/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063693232 | NPI | - | NPPES |
| 200640420A | Medicaid | KS | |
| 39532013 | Other | BLUE CROSS BLUE SHIELD | |
| 501269500 | Medicaid | MO |
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