College Park Family Care Center, P.a.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

COLLEGE PARK FAMILY CARE CENTER, P.A.

Practice address

11725 W 112TH St
Overland Park, KS 66210-2761

Phone

(913) 469-5579

Fax

(913) 338-1311

NPI assigned

May 9, 2007

Last updated

Oct 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chuck Chambers

Title

Administrator

Phone

(913) 469-0503

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CPFCC Urgent Care Other name

Tax ID family

College Park Family Care Center PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• College Park Family Care Center, P.a.

  • Cardiovascular Disease Physician
  • Overland Park, KS
  • NPI 1780894741
  NPD tax ID
• Cpfcc Mur-Len

  • Family Medicine Physician
  • Olathe, KS
  • NPI 1891010039
  NPD tax ID

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1952515041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 W 112TH ST STE 203",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761",
            "telephone_number": "913-469-0503",
            "fax_number": "913-338-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761",
            "telephone_number": "913-469-5579",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PARK FAMILY CARE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "913-469-0503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29976016",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPFCC Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• College Park Family Care Center PA
• College Park Family Care Center, P.a.
• College Park Family Care Center, P.a.
• College Park Family Care Center, P.a.
• College Park Family Care Center, P.a.
• College Park Physical Therapy
• College Park Radiology, LLC
• Collegiate Medical LLC
• Julie Ann Colley
• Kristy Colley, LMT

• Urgent Care Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Urgent Care Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.