Organization
CMC WALK IN MED BS LLC
Active
Other names
CMC Walk in Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ASTON GOLDSWORTHY FNP-BC (CEO)
(816) 674-2693
Entity
Organization
Contact information
Practice address
1131 W MAIN ST STE E, BLUE SPRINGS, MO 64015-3611
(816) 229-1941
(816) 229-7085
Mailing address
1131 W MAIN ST STE E, BLUE SPRINGS, MO 64015-3611
(816) 229-1941
(816) 229-7085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/11/2023
Last updated
09/12/2023
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