OPTUM CLINIC – NPI #1104250596
Clinic/Center

OPTUM CLINIC is an AHC clinic located in OVERLAND PARK, KS. NPPES has assigned the NPI number 1104250596 to OPTUM CLINIC on August 21, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OPTUM CLINIC” is a dba name, the actual legal business name for this organization is OPTUM CLINIC, PA. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 10 years ago on Mar 14, 2016. 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 OPTUM CLINIC below.

NPI Profile for
OPTUM CLINIC, PA

NPI Number
1104250596
Enumeration Date

(about 13 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
OPTUM CLINIC, PA
Doing Business As (dba): OPTUM CLINIC
Primary location
7100 COLLEGE BLVD
OVERLAND PARK, KS 66210-1862
Phone: (913) 905-4700 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CURTIS MOCK
CEO
Phone: (401) 732-7325
Updated
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
261QU0200X
- Clinic/Center / Urgent Care (Primary)

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.