Provider Demographics
NPI:1952500076
Name:PARSONS FAMILY MEDICINE, LLC
Entity Type:Organization
Organization Name:PARSONS FAMILY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:620-421-3388
Mailing Address - Street 1:PO BOX 677
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-0677
Mailing Address - Country:US
Mailing Address - Phone:620-421-3388
Mailing Address - Fax:620-421-4402
Practice Address - Street 1:1902 S US HIGHWAY 59
Practice Address - Street 2:BLDG A, STE 3
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-4948
Practice Address - Country:US
Practice Address - Phone:620-421-3388
Practice Address - Fax:620-421-4402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0430692261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS111051Medicare PIN
KSH40516Medicare UPIN