# PHOENIX HEALTHCARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194000570
- **Authorized official:** DANA C HANSON APRN (CO-OWNER APRN)
- **Authorized official phone:** (913) 851-0500

## Contact information

- **Practice address:** 11029 HAUSER STREET, LENEXA, KS 66210
- **Practice address phone:** (913) 851-0500
- **Practice address fax:** (913) 851-0502
- **Mailing address:** 11029 HAUSER STREET, LENEXA, KS 66210
- **Mailing address phone:** (913) 851-0500
- **Mailing address fax:** (913) 851-0502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2011
- **Last updated:** 08/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100344690D | — | KS |
| 05 | — | 1174628994 | — | MO |
| 05 | — | 1275868622 | — | MO |
| 05 | — | 200530820A | — | KS |