Organization
JAYHAWK PRIMARY CARE INC
Active
Parent organization
JAYHAWK PRIMARY CARE INC
Other names
FAMILY CARE OF INDEPENDENCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAYHAWK PRIMARY CARE INC
Authorized official
PAMELA J. MYRTLE (HR DIRECTOR)
(913) 588-9808
Entity
Organization
Contact information
Practice address
4721 S CLIFF AVE, FAMILY CARE OF INDEPENDENCE SUITE 200, INDEPENDENCE, MO 64055-7016
(816) 503-3700
(816) 503-3704
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED. STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9856
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21211013
BCBS GROUP NUMBER
—
Enumeration date
04/26/2006
Last updated
04/20/2008
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