Provider Demographics
NPI:1306259387
Name:LANSING URGENT CARE AND OCCUPATIONAL HEALTH
Entity type:Organization
Organization Name:LANSING URGENT CARE AND OCCUPATIONAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MRS
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:816-584-9923
Practice Address - Street 1:844 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1305
Practice Address - Country:US
Practice Address - Phone:816-838-9923
Practice Address - Fax:816-584-9923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO169013531OtherINDIVIDUAL NPI
MO1285925420OtherORGANIZATION NPI
MOMA3971OtherORGANIZATION PTAN
MOMA3971001OtherPTAN