Ambulatory Surgical Center

LBN: College Park Family Care Center, P.A.
Ambulatory Surgical Center is an health care organization with primary practice located at 11725 W 112Th St , Overland Park KS 66210-2761. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. College Park Family Care Center, P.A. can be contacted via phone (913) 469-5579, or through Chambers, Charles O. via phone (913) 469-0503.

Contact Information

Primary practice address
11725 W 112Th St Overland Park KS 66210-2761
Phone: (913) 469-5579
Fax: (913) 338-1311
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Charles O.
Phone: (913) 469-0503

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X S-046-007 Kansas

Profile Details

NPI number 1861415846
LBN Legal business name College Park Family Care Center, P.A.
DBA Doing business as Ambulatory Surgical Center
Authorized official Chambers, Charles O.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 10th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861415846 NPPES
Kansas Other 8500019 MEDICARE

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