Organization · NPI-2

Centerwell Senior Primary Care Ks PA

Internal Medicine · Olathe, KS

NPI number1013438654
StatusActive
Last updated in NPPESAug 19, 2024

Details

NPI
1013438654
Entity type
Organization (NPI-2)
Legal business name
Centerwell Senior Primary Care Ks PA
Organization subpart
Yes
Enumeration date
Jul 5, 2017
Certification date
Aug 19, 2024
Last updated
Aug 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207Q00000X Family Medicine––
208D00000X General Practice––

Other names

  • Partners In Primary Care (Ks), P.A (Former Legal Business Name)
  • Partners In Primary Care Tx PA (Former Legal Business Name)
  • Centerwell Senior Primary Care -Olathe (Doing Business As)
  • Partners In Primary Care Ks PA (Former Legal Business Name)
  • Partners In Primary Care- Olathe (Doing Business As)

Practice location

16575 W 119th St
Olathe, KS 66061-7770

Phone 913-815-5508 · Fax 855-446-7281

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Phone 305-500-2000

Authorized official

Angie Martinez
Senior Credentialing Professional
4074477120

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