Provider Demographics
NPI:1285925420
Name:SPECIALTY HEALTHCARE SERVICES
Entity type:Organization
Organization Name:SPECIALTY HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BEARCE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:816-838-9923
Mailing Address - Street 1:8228 NW WAUKOMIS DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-1038
Mailing Address - Country:US
Mailing Address - Phone:816-838-9923
Mailing Address - Fax:
Practice Address - Street 1:8228 NW WAUKOMIS DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-1038
Practice Address - Country:US
Practice Address - Phone:816-838-9923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO089515363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty