Organization
TONGANOXIE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T PAQUETTE (CEO)
(913) 596-4000
Entity
Organization
Contact information
Practice address
508 E 4TH ST, TONGANOXIE, KS 66086-8920
(913) 369-2353
(913) 845-2258
Mailing address
PO BOX 12406, KANSAS CITY, KS 66112-0406
(913) 369-2353
(913) 845-2258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26114019
BCBS KANSAS
—
Enumeration date
09/30/2006
Last updated
08/22/2020
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