Organization
COUNTY OF JOHNSON
Active
Other names
Johnson County Med-Act
Organization subpart
No
Provider details
NPI number
Authorized official
DEB A STANTON (OFFICE MANAGER)
(913) 715-1974
Entity
Organization
Contact information
Practice address
11811 S SUNSET DR, STE. 1100, OLATHE, KS 66061-7055
(913) 715-1950
(913) 715-1959
Mailing address
11811 S SUNSET DR, STE. 1100, OLATHE, KS 66061-2793
(913) 715-1950
(913) 715-1959
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
900
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04506013
BCBS
KS
01
—
04506013
BCBS
MO
05
—
100091530B
—
KS
Enumeration date
12/29/2005
Last updated
12/31/2012
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