# MATRIX MEDICAL NETWORK OF KANSAS PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY CARE HEALTH NETWORK INC
- **Other names:** Matrix Medical Network
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669770095
- **Legal business name:** COMMUNITY CARE HEALTH NETWORK INC
- **Authorized official:** VICTORIA ALVAREZ (DIRECTOR, CREDENTIALING)
- **Authorized official phone:** (480) 862-1695

## Contact information

- **Practice address:** 9393 W 110TH ST STE 500, OVERLAND PARK, KS 66210-1464
- **Practice address phone:** (480) 862-1716
- **Practice address fax:** (480) 718-7643
- **Mailing address:** 9201 E MOUNTAIN VIEW RD, SUITE 220, SCOTTSDALE, AZ 85258-5172
- **Mailing address phone:** (480) 862-1700
- **Mailing address fax:** (480) 907-1537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 12/11/2019