Organization Name: | URGENT CARE OF CASS COUNTY, LLC |
NPI Number: | 1124337670 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN JOHNSON (EXECUTIVE MEMBER) |
Mailing Address: | 2019 W Foxwood Dr Raymore |
State: | MO US |
Postal Code: | 640839380 |
Phone Number: | 8167956000 |
Fax Number: | 8167956064 |
NPI Enumeration Date: | 10/01/2010 |
NPI Last Update Date: | 10/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |