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Serc Rehabilitation Partners LLC

Clinic/Center, Occupational Medicine in Blue Springs, MO. Organization (NPI-2).

NPI number1003209701
StatusActive
Last updated in NPPESMar 5, 2015

Details

NPI
1003209701
Entity type
Organization (NPI-2)
Legal business name
Serc Rehabilitation Partners LLC
Organization subpart
No
Enumeration date
Mar 5, 2015
Last updated
Mar 5, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QX0100X Clinic/Center, Occupational Medicine––Yes

Other names

  • Serc - Hand Blue Springs (Doing Business As)

Practice location

1225 S 7 Hwy
Blue Springs, MO 64014-3539

Phone 816-295-2051 · Fax 816-463-2014

Mailing address

8823 Production Ln
Ooltewah, TN 37363-6511

Phone 423-238-7217 · Fax 423-238-3473

Authorized official

Kevin Johanneson
Vp Revenue Cycle Operations
4232387217

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