Community House of Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0428352 Issued in KS

Legal business name

COMMUNITY HOUSE OF WELLNESS

Practice address

1121 Quindaro Blvd
Kansas City, KS 66104-5331

Phone

(913) 233-1733

Fax

(913) 233-0055

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marvin McIntosh, MEDICAL DOCTOR

Title

Medical Director

Phone

(913) 233-1733

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1891901054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 QUINDARO BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661045331",
            "telephone_number": "913-233-1733",
            "fax_number": "913-233-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 QUINDARO BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661045331",
            "telephone_number": "913-233-1733",
            "fax_number": "913-233-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOUSE OF WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-233-1733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0428352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006440D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MERCY HEALTH P",
            "identifier": "464791",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006440A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Branden W. Comfort, M.D., M.P.H
• Lucas Lee Comfort, MD
• Communication Station LLC
• Community Bridge Recovery Inc
• Community Health Council of Wyandotte County
• Comprehensive Homecare, Inc
• Comprehensive Outpatient Services, Inc.
• Cara Elizabeth Compton, APRN
• Concentra Health Services, Inc.
• Veronica Conde

• Family Medicine Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.