Organization
COLLEGE PARK FAMILY CARE CENTER, P.A.
Active
Other names
CPFCC Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK CHAMBERS (ADMINISTRATOR)
(913) 469-0503
Entity
Organization
Contact information
Practice address
11725 W 112TH ST, OVERLAND PARK, KS 66210-2761
(913) 469-5579
(913) 338-1311
Mailing address
11755 W 112TH ST STE 203, OVERLAND PARK, KS 66210-2761
(913) 469-0503
(913) 338-1311
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29976016
BLUE CROSS BLUE SHIELD
KS
Enumeration date
05/09/2007
Last updated
10/17/2013
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