Marvin L Mcintosh
COMMUNITY HOUSE OF WELLNESS


Address: 1121 Quindaro Blvd, Kansas City, KS 66104-5331
Phone: 9132331733

Marvin L Mcintosh (NPI# 1417054362, PAC ID# 4688642812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1417054362
PAC ID by PECOS 4688642812
Professional Enrollment ID I20040924000115
Full Name Marvin L Mcintosh
Organization Legal Name COMMUNITY HOUSE OF WELLNESS
Address 1121 Quindaro Blvd
Kansas City
KS 66104-5331
Phone Number 9132331733
Gender M
Credential MD
Medical School UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 1975
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 8224220983
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
170146 PROVIDENCE MEDICAL CENTER

Other Locations

Address Phone Organization
1121 Quindaro Blvd, Kansas City, KS 66104-5331 9132331733 COMMUNITY HOUSE OF WELLNESS

Organization Information

Organization Legal Name COMMUNITY HOUSE OF WELLNESS
Physicians 1

Office Location

Street Address 1121 QUINDARO BLVD
City KANSAS CITY
State KS
Zip 66104-5331

Physicians in the same zip code

Name Specialty Organization Address
Srinath Tadakamalla Geriatric Medicine Complete Health Care Services Pa 3231 N 61st St, Life Care Ctr of Kansas City, Kansas City, KS 66104-1415
George J Bures Jr. Family Medicine Swope Health Services 6013 Leavenworth Rd, Kansas City, KS 66104-1436
Kylie I Gaustad Nurse Practitioner Swope Health Services 6013 Leavenworth Rd, Kansas City, KS 66104-1436
Brady W Hanson Family Medicine Swope Health Services 6013 Leavenworth Rd, Kansas City, KS 66104-1436

Competitor

Search similar physicians

City KANSAS CITY
Zip Code 66104
Specialty FAMILY PRACTICE
City + Specialty KANSAS CITY + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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