Emergency Specialty Services Affiliates, Llc

LBN: Emergency Specialty Services Affiliates, Llc
Emergency Specialty Services Affiliates, Llc is an health care organization with primary practice located at 3515 Broadway Ave , Great Bend KS 67530-3633. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Emergency Specialty Services Affiliates, Llc can be contacted via phone (316) 684-3838, or through Henson, Steven via phone (316) 684-3838.

Contact Information

Primary practice address
3515 Broadway Ave Great Bend KS 67530-3633
Phone: (316) 684-3838
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henson, Steven Doctor of Medicine (MD)
Phone: (316) 684-3838

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1922269174
LBN Legal business name Emergency Specialty Services Affiliates, Llc
DBA Doing business as
Authorized official Henson, Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2008
Last updated Jan 16th, 2009 - about 15 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 1922269174 NPPES
Kansas MEDICAID 200576730A

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