Northridge Family Medicine

LBN: Town Plaza Family Practice, Llc
Northridge Family Medicine is an health care organization with primary practice located at 15270 W 119Th St , Olathe KS 66062-5604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Town Plaza Family Practice, Llc can be contacted via phone (913) 254-0828, or through Washington, Ken via phone (913) 254-0918.

Contact Information

Primary practice address
15270 W 119Th St Olathe KS 66062-5604
Fax:
Website:
Authorized official contact:
Name: Washington, Ken

Health care specialties

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

Profile Details

NPI number 1477596484
LBN Legal business name Town Plaza Family Practice, Llc
DBA Doing business as Northridge Family Medicine
Authorized official Washington, Ken
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1477596484 NPPES
Kansas MEDICAID 20-877559-01
Kansas Other 11372027

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