COLLEGE PARK FAMILY CARE CENTER, P.A. – NPI #1861415846
Clinic/Center

COLLEGE PARK FAMILY CARE CENTER, P.A. is an AHC clinic located in OVERLAND PARK, KS. NPPES has assigned the NPI number 1861415846 to COLLEGE PARK FAMILY CARE CENTER, P.A. on July 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. COLLEGE PARK FAMILY CARE CENTER, P.A. is also known by the name AMBULATORY SURGICAL CENTER. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 19 years ago on Dec 10, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLLEGE PARK FAMILY CARE CENTER, P.A. below.

NPI Profile for
COLLEGE PARK FAMILY CARE CENTER, P.A.

NPI Number
1861415846
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLLEGE PARK FAMILY CARE CENTER, P.A.
Other Name: AMBULATORY SURGICAL CENTER
Primary location
11725 W 112TH ST
OVERLAND PARK, KS 66210-2761
Phone: (913) 469-5579 Fax: (913) 338-1311
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES CHAMBERS
ADMINISTRATOR
Phone: (913) 469-0503
Updated
Identifiers

Identifiers for COLLEGE PARK FAMILY CARE CENTER, P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAREKS8500019
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 KS S-046-007

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.