State Line Medical Group Llc

LBN: State Line Medical Group Llc
State Line Medical Group Llc is an health care organization with primary practice located at 7611 State Line Rd Suite 103, Kansas City MO 64114-6801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. State Line Medical Group Llc can be contacted via phone (816) 333-9886, or through Washington, Ken via phone (816) 333-9886.

Contact Information

Primary practice address
7611 State Line Rd Suite 103 Kansas City MO 64114-6801
Phone: (816) 333-9886
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Washington, Ken
Phone: (816) 333-9886

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1679529853
LBN Legal business name State Line Medical Group Llc
DBA Doing business as
Authorized official Washington, Ken
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1679529853 NPPES
Missouri Other 29398029 BCBS OF KC

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