Provider Demographics
NPI:1851521611
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:
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:66762-6571
Mailing Address - Country:US
Mailing Address - Phone:620-231-8003
Mailing Address - Fax:620-231-8502
Practice Address - Street 1:1624 S NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-2645
Practice Address - Country:US
Practice Address - Phone:620-223-5000
Practice Address - Fax:620-223-5011
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEK URGENT CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-15
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-22856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty