Midwest Hospital Specialists, P.a. | |
10901 Granada Ln Ste. 200 Overland Park KS 66211-1401 | |
(913) 660-1616 | |
(913) 660-1664 |
Full Name | Midwest Hospital Specialists, P.a. |
---|---|
Speciality | Internal Medicine |
Location | 10901 Granada Ln, Overland Park, Kansas |
Authorized Official Name and Position | Thomas H Simmons (MEDICAL DIRECTOR) |
Authorized Official Contact | 9136601616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midwest Hospital Specialists, P.a. 10901 Granada Ln Ste. 200 Overland Park KS 66211-1401 Ph: (913) 660-1616 | Midwest Hospital Specialists, P.a. 10901 Granada Ln Ste. 200 Overland Park KS 66211-1401 Ph: (913) 660-1616 |
NPI Number | 1013901404 |
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Provider Enumeration Date | 08/31/2005 |
Last Update Date | 10/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013901404 | NPI | - | NPPES |
100357430A | Medicaid | KS | |
177826002 | Other | OWCP DEEOIC DOL | |
504676008 | Medicaid | MO | |
DB3032 | Other | KS | RR MCR |
100357430B | Medicaid | KS | |
177826001 | Other | DOL FECA | |
24826016 | Other | BCBS | |
CG6035 | Other | MO | RR MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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