Provider Demographics
NPI:1427144567
Name:MED-CARE MEDICAL INCORPORATED
Entity type:Organization
Organization Name:MED-CARE MEDICAL INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:IVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-789-7220
Mailing Address - Street 1:18900 W 158TH ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-8014
Mailing Address - Country:US
Mailing Address - Phone:913-789-7220
Mailing Address - Fax:
Practice Address - Street 1:18900 W 158TH ST
Practice Address - Street 2:SUITE F
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-8014
Practice Address - Country:US
Practice Address - Phone:913-789-7220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS32869013OtherBLUE CROSS BLUE SHIELD
KS4775340001Medicare ID - Type Unspecified