| Vcphcs Xiv, Llc | |
|
6331 W. 110th Street Overland Park KS 66211 | |
| (913) 696-1911 | |
| (913) 696-1619 |
| Full Name | Vcphcs Xiv, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6331 W. 110th Street, Overland Park, Kansas |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcphcs Xiv, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | Vcphcs Xiv, Llc 6331 W. 110th Street Overland Park KS 66211 Ph: (913) 696-1911 |
| NPI Number | 1619313665 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Medicare PECOS PAC ID | 7719288745 |
|---|---|
| Medicare Enrollment ID | O20191220002399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619313665 | NPI | - | NPPES |
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