Providence Care An Operating Division Of Providence Medical Ctr

LBN: Providence Care An Operating Division Of Providence Medical Ctr
Providence Care An Operating Division Of Providence Medical Ctr is an health care organization with primary practice located at 913 Sheidley Ave , Bonner Springs KS 66012-9514. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Providence Care An Operating Division Of Providence Medical Ctr can be contacted via phone (913) 322-7222, or through Nyp, Randall G via phone (913) 596-4000.

Contact Information

Primary practice address
913 Sheidley Ave Bonner Springs KS 66012-9514
Fax: (913) 322-7284
Website:
Authorized official contact:
Name: Nyp, Randall G

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1700921970
LBN Legal business name Providence Care An Operating Division Of Providence Medical Ctr
DBA Doing business as
Authorized official Nyp, Randall G
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 21st, 2007
Last updated Apr 20th, 2012 - about 13 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 1700921970 NPPES
Kansas Other 37765011 BCBS KANSAS CITY
Kansas Other DF7207 BCBS KANSAS CITY
Kansas MEDICAID 200429440A BCBS KANSAS CITY
Kansas Other X150000 BCBS KANSAS CITY

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