Providence Medical Center

LBN: Prime Healthcare Services-Providence, Llc
Providence Medical Center is an health care organization with primary practice located at 8929 Parallel Pkwy , Kansas City KS 66112-1689. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Prime Healthcare Services-Providence, Llc can be contacted via phone (913) 596-3229, or through Doan, Christopher via phone (909) 235-4307.

Contact Information

Primary practice address
8929 Parallel Pkwy Kansas City KS 66112-1689
Phone: (913) 596-3229
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Doan, Christopher
Phone: (909) 235-4307

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X N105013 Kansas

Profile Details

NPI number 1639624364
LBN Legal business name Prime Healthcare Services-Providence, Llc
DBA Doing business as Providence Medical Center
Authorized official Doan, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2016
Last updated Aug 23rd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639624364 NPPES
Kansas Other H-105-003 HOSPITAL LICENSE

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