| Optum Clinic | |
|
6860 W 115th St Overland Park International Trade Overland Park KS 66211-2457 | |
| (800) 645-9656 | |
| Not Available |
| Full Name | Optum Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 6860 W 115th St, Overland Park, Kansas |
| Authorized Official Name and Position | Ronald Shumacher (OWNER) |
| Authorized Official Contact | 2406835331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Clinic Po Box 692 Minneapolis MN 55440-0692 Ph: (800) 645-9656 | Optum Clinic 6860 W 115th St Overland Park International Trade Overland Park KS 66211-2457 Ph: (800) 645-9656 |
| NPI Number | 1053721779 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 05/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053721779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Optum Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6860 W 115th St, Overland Park, KS 66211 Phone: 913-253-0601 | |
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