Fw Huston Medical Clinic
LBN: Jefferson County Memorial Hospital
Fw Huston Medical Clinic is an health care organization with primary practice located at 504 Plaza Dr Suite 300, Perry KS 66073-4136. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty.
Jefferson County Memorial Hospital can be contacted via phone (913) 774-4340, or through Cook, Lamont via phone (913) 774-4340.
Contact Information
Primary practice address
504 Plaza Dr Suite 300
Perry KS 66073-4136
Phone: (913) 774-4340
Fax: (913) 774-3379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1447660360 |
|---|---|
| LBN Legal business name | Jefferson County Memorial Hospital |
| DBA Doing business as | Fw Huston Medical Clinic |
| Authorized official | Cook, Lamont |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 30th, 2014 |
| Last updated | Jun 23rd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447660360 | NPPES |
| Kansas | Other | 110046 | MEDICARE ID-TYPE UNSPECIFIED |
| Kansas | MEDICAID | 100080370F | MEDICARE ID-TYPE UNSPECIFIED |
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