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Organization

JAYHAWK PRIMARY CARE INC

Active
Parent organization
JAYHAWK PRIMARY CARE INC
Other names
KU MEDWEST
Organization subpart
Yes

Provider details

NPI number
Legal business name
JAYHAWK PRIMARY CARE INC
Authorized official
STEVEN BROWN (BILLING DIRECTOR)
(913) 945-5603
Entity
Organization

Contact information

Practice address
7405 RENNER RD, KU MEDWEST, SHAWNEE, KS 66217-9414
(913) 588-8400
(913) 588-8413
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED. STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
225100000X
Physical Therapist
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100217070C
KS
01
25562019
BCBS GROUP NUMBER
Enumeration date
04/27/2006
Last updated
04/09/2012
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