NPI 1003147893 MR. BRAD CLINTON PARKS PITTSBURG KS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Brad Clinton Parks - NPI: 1003147893

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. BRAD CLINTON PARKS
NPI Number: 1003147893
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number: 82
Business Practice Address: 824 E 4th St
Pittsburg, KS - 667624234
Business Phone Number: 6207045277
Business Fax Number:
Mailing Address: 1102 South Rouse,
PITTSBURG
State: KS
Postal Code: 66762
Phone Number: 6202322593
Fax Number:
NPI Enumeration Date: 01/19/2010
NPI Last Update Date: 07/31/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 82
Healthcare Provider Taxonomy:
(Secondary)
Y
State: KS
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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