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Contact Information

MCCLURE MEDICAL PRACTICE, PA
901 MAIN ST
SUITE 101
WINFIELD, KS67156-3604
 Phone: 620-218-1623
 Fax: 620-402-5044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for MCCLURE MEDICAL PRACTICE, PA

NPI Number 1902223787
LBN Legal business name MCCLURE MEDICAL PRACTICE, PA
Authorized official SHELLEY MCCLURE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2014
Last updated 10/08/2014 - About 12 years ago
Identifiers
KS License # 04-31220
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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