Provider Demographics
NPI:1053490698
Name:SEK URGENT CARE, LLC
Entity Type:Organization
Organization Name:SEK URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:COSENS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:620-231-8003
Mailing Address - Street 1:200 E CENTENNIAL DR
Mailing Address - Street 2:SUITE 3 & 4
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-6559
Mailing Address - Country:US
Mailing Address - Phone:620-231-8003
Mailing Address - Fax:620-231-8502
Practice Address - Street 1:200 E CENTENNIAL DR
Practice Address - Street 2:SUITE 3 & 4
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-6559
Practice Address - Country:US
Practice Address - Phone:620-231-8003
Practice Address - Fax:620-231-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS22856261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200597390AMedicaid
KSE69277Medicare UPIN
KS6187230001Medicare NSC