Provider Demographics
NPI:1962481457
Name:GASHLAND CLINIC PHYSICIANS INC
Entity Type:Organization
Organization Name:GASHLAND CLINIC PHYSICIANS INC
Other - Org Name:MERITAS HEALTH GASHLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:F
Authorized Official - Last Name:SCMITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-691-2020
Mailing Address - Street 1:9411 N OAK TRFY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-2262
Mailing Address - Country:US
Mailing Address - Phone:816-436-1800
Mailing Address - Fax:816-436-4241
Practice Address - Street 1:9411 N OAK TRFY
Practice Address - Street 2:SUITE 100
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-2262
Practice Address - Country:US
Practice Address - Phone:816-436-1800
Practice Address - Fax:816-436-4241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CP2492OtherRAILROAD MEDICARE2
CD2317OtherRAILROAD MEDICARE1
MO01029014OtherBCBS OF KC
0860000AMedicare PIN