Urology Chartered in Fairway - Clinic/center

Urology Chartered - NPI 1841476603

Urology Chartered is a Clinic/center in Fairway, Kansas. Urology Chartered practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Urology Chartered is 1841476603. The last update date is 2008-01-16.

Urology Chartered's current location address is 6104 Lockton Lane, Fairway, Kansas. You can contact this provider via phone number 8169310145 and fax number 8169310145. The mailing address for Urology Chartered is 6104 Lockton Lane, Fairway, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Urology Chartered
Address 6104 Lockton Lane, Fairway, Kansas
Phone Number 8169310145
Fax Number 8169310145
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mitchell Dakers John
Credentials MD
Telephone Number 8169310145

NPI Number Detail

NPI Number 1841476603
Provider Enumeration Date 2008-01-11
Last Updated Date 2008-01-16

Provider Mailing Address Detail

Address 6104 Lockton Lane
City Fairway
State Kansas (KS)
Post Code 66204
Phone Number 8169310145
Fax Number 8169310145

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 29188
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8390000 MO MO INDIVIDUAL PROV NO
8391226 MO MEDICARE GROUP PROV NUMBE

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FAQs about Urology Chartered

What is the unique 10-digit identification code assigned to Urology Chartered by the Centers for Medicare & Medicaid Services?

The Urology Chartered has been issued the NPI (National Provider Identifier) 1841476603, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Urology Chartered located?

The Urology Chartered is located at 6104 Lockton Lane, Fairway, KS 66204.

What is the Urology Chartered's specialty and taxonomy code?

The Urology Chartered's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.

On what date did the Urology Chartered receive its 1841476603 assignment from the Centers for Medicare & Medicaid Services?

The Urology Chartered was assigned its 1841476603 by the Centers for Medicare & Medicaid Services on 2008-01-11.

When was the information related to Urology Chartered most recently updated or refreshed?

The details pertaining to the Urology Chartered, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-16.

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