Provider Demographics
NPI:1134742794
Name:UPCARE URGENT CLINIC - OLATHE LLC
Entity type:Organization
Organization Name:UPCARE URGENT CLINIC - OLATHE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:SHIVAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PARBHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-550-3005
Mailing Address - Street 1:790 N RIDGEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061
Mailing Address - Country:US
Mailing Address - Phone:314-550-3005
Mailing Address - Fax:
Practice Address - Street 1:790 N RIDGEVIEW RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061
Practice Address - Country:US
Practice Address - Phone:314-550-3005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care