Community House Of Wellness | |
1121 Quindaro Blvd Kansas City KS 66104-5331 | |
(913) 233-1733 | |
(913) 233-0055 |
Full Name | Community House Of Wellness |
---|---|
Speciality | Family Medicine |
Location | 1121 Quindaro Blvd, Kansas City, Kansas |
Authorized Official Name and Position | Marvin Mcintosh (MEDICAL DIRECTOR) |
Authorized Official Contact | 9132331733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community House Of Wellness 1121 Quindaro Blvd Kansas City KS 66104-5331 Ph: (913) 233-1733 | Community House Of Wellness 1121 Quindaro Blvd Kansas City KS 66104-5331 Ph: (913) 233-1733 |
NPI Number | 1891901054 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 09/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891901054 | NPI | - | NPPES |
200006440D | Medicaid | KS | |
464791 | Other | KS | CHILDREN'S MERCY HEALTH P |
200006440A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0428352 (Kansas) | Primary |
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