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Organization
COLLEGE PARK FAMILY CARE CENTER, P.A.
Active
Organization
COLLEGE PARK FAMILY CARE CENTER, P.A.
Active
Other names
CPFCC Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK CHAMBERS (ADMINISTRATOR)
(913) 469-0503
Entity
Organization
Contact information
Practice address
11725 W 112TH ST, OVERLAND PARK, KS 66210-2761
(913) 469-5579
(913) 338-1311
Mailing address
11755 W 112TH ST STE 203, OVERLAND PARK, KS 66210-2761
(913) 469-0503
(913) 338-1311
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29976016
BLUE CROSS BLUE SHIELD
KS
Enumeration date
05/09/2007
Last updated
10/17/2013
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