# JAYHAWK PRIMARY CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JAYHAWK PRIMARY CARE INC
- **Other names:** FAMILY CARE OF INDEPENDENCE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790742765
- **Legal business name:** JAYHAWK PRIMARY CARE INC
- **Authorized official:** PAMELA J. MYRTLE (HR DIRECTOR)
- **Authorized official phone:** (913) 588-9808

## Contact information

- **Practice address:** 4721 S CLIFF AVE, FAMILY CARE OF INDEPENDENCE SUITE 200, INDEPENDENCE, MO 64055-7016
- **Practice address phone:** (816) 503-3700
- **Practice address fax:** (816) 503-3704
- **Mailing address:** 2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED. STE. 312, WESTWOOD, KS 66205-2005
- **Mailing address phone:** (913) 588-9856
- **Mailing address fax:** (913) 588-9822

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 04/20/2008
