Community House Of Wellness

LBN: Community House Of Wellness
Community House Of Wellness is an health care organization with primary practice located at 1121 Quindaro Blvd , Kansas City KS 66104-5331. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Community House Of Wellness can be contacted via phone (913) 233-1733, or through Mcintosh, Marvin via phone (913) 233-1733.

Contact Information

Primary practice address
1121 Quindaro Blvd Kansas City KS 66104-5331
Phone: (913) 233-1733
Fax: (913) 233-0055
Website:
Map and Directions
Authorized official contact:
Name: Mcintosh, Marvin MEDICAL DOCTOR
Phone: (913) 233-1733

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0428352 Kansas

Profile Details

NPI number 1891901054
LBN Legal business name Community House Of Wellness
DBA Doing business as
Authorized official Mcintosh, Marvin MEDICAL DOCTOR
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Sep 29th, 2010 - about 14 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 1891901054 NPPES
Kansas MEDICAID 200006440D
Kansas Other 464791
Kansas MEDICAID 200006440A

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