Fw Huston Family Medicine | |
15630 Pinehurst Dr Suite 5 Basehor KS 66007-8233 | |
(913) 774-4340 | |
(913) 774-3379 |
Full Name | Fw Huston Family Medicine |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 15630 Pinehurst Dr, Basehor, Kansas |
Authorized Official Name and Position | Jason Johnson (CFO) |
Authorized Official Contact | 9139334020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fw Huston Family Medicine 408 Delaware St Winchester KS 66097-4003 Ph: (913) 774-4340 | Fw Huston Family Medicine 15630 Pinehurst Dr Suite 5 Basehor KS 66007-8233 Ph: (913) 774-4340 |
NPI Number | 1871969865 |
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Provider Enumeration Date | 08/13/2015 |
Last Update Date | 03/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871969865 | NPI | - | NPPES |
100080370F | Medicaid | KS | |
110046 | Other | KS | MEDICARE ID TYPE UNSPECIFIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | H044001 (Kansas) | Primary |
Basehor-linwood Usd 458 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2008 N 155th St, Basehor, KS 66007 Phone: 913-724-1396 Fax: 913-724-2709 | |
Fw Huston Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15630 Pinehurst Dr, Suite 5, Basehor, KS 66007 Phone: 913-662-7042 Fax: 913-662-7046 | |
Prime Healthcare Services - Saint John Leavenworth, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15604 Pinehurst Dr Ste 2, Basehor, KS 66007 Phone: 913-728-2200 |