Organization
FAMILY CARE OF E. JACKSON COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CALKINS (GROUP VICE PRESIDENT)
(615) 372-6536
Entity
Organization
Contact information
Practice address
725 NW STATE ROUTE 7 STE B, BLUE SPRINGS, MO 64014-2426
(816) 229-8187
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100452280A
—
KS
01
—
20051024
BCBS OF KANSAS
KS
05
—
506899004
—
MO
Enumeration date
05/26/2006
Last updated
11/21/2025
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