Organization
CONCENTRA MEDICAL CENTER - KC LENEXA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM FOGARTY M.D. (SR VP, CMO)
(972) 364-8103
Entity
Organization
Contact information
Practice address
13414 W 99TH ST, LENEXA, KS 66215-1365
(913) 649-0637
(913) 383-9206
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
02/26/2007
Last updated
08/20/2007
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