Independence Pediatrics Pc

LBN: Independence Pediatrics Pc
Independence Pediatrics Pc is an health care organization with primary practice located at 17500 Medical Center Pkwy Suite 5, Independence MO 64057. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Independence Pediatrics Pc can be contacted via phone (816) 373-1111, or through Fariborz, Tracey via phone (816) 373-1142.

Contact Information

Primary practice address
17500 Medical Center Pkwy Suite 5 Independence MO 64057
Phone: (816) 373-1111
Fax: (816) 378-9222
Website:
Map and Directions
Authorized official contact:
Name: Fariborz, Tracey Licensed Practical Nurse (LPN)
Phone: (816) 373-1142

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1992964845
LBN Legal business name Independence Pediatrics Pc
DBA Doing business as
Authorized official Fariborz, Tracey Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Jun 5th, 2008 - 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 1992964845 NPPES
Other 33997011 BCBS

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