Providence Care An Operating Division Of Providence Medical Ctr in Bonner Springs - General Practice

Providence Care An Operating Division Of Providence Medical Ctr - NPI 1700921970

Providence Care An Operating Division Of Providence Medical Ctr is a General Practice in Bonner Springs, Kansas. Providence Care An Operating Division Of Providence Medical Ctr practices all healthcare services and medical treatments related to General Practice. The NPI Number for Providence Care An Operating Division Of Providence Medical Ctr is 1700921970. The last update date is 2012-04-20.

Providence Care An Operating Division Of Providence Medical Ctr's current location address is 913 Sheidley Ave, Bonner Springs, Kansas. You can contact this provider via phone number 9133227222 and fax number 9133227284. The mailing address for Providence Care An Operating Division Of Providence Medical Ctr is 913 Sheidley Ave, Bonner Springs, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Care An Operating Division Of Providence Medical Ctr
Address 913 Sheidley Ave, Bonner Springs, Kansas
Phone Number 9133227222
Fax Number 9133227284
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Nyp G Randall
Telephone Number 9135964000

NPI Number Detail

NPI Number 1700921970
Provider Enumeration Date 2007-02-21
Last Updated Date 2012-04-20

Provider Mailing Address Detail

Address 913 Sheidley Ave
City Bonner Springs
State Kansas (KS)
Post Code 660129514
Phone Number 9133227222
Fax Number 9133227284

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
37765011 KS BCBS KANSAS CITY
DF7207 KS RAILROAD MEDICARE
200429440A KS --
X150000 KS MEDICARE KANSAS CITY

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FAQs about Providence Care An Operating Division Of Providence Medical Ctr

What is the unique 10-digit identification code assigned to Providence Care An Operating Division Of Providence Medical Ctr by the Centers for Medicare & Medicaid Services?

The Providence Care An Operating Division Of Providence Medical Ctr has been issued the NPI (National Provider Identifier) 1700921970, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Providence Care An Operating Division Of Providence Medical Ctr located?

The Providence Care An Operating Division Of Providence Medical Ctr is located at 913 Sheidley Ave, Bonner Springs, KS 660129514.

What is Providence Care An Operating Division Of Providence Medical Ctr's area of expertise and its corresponding taxonomy classification?

The Providence Care An Operating Division Of Providence Medical Ctr's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Providence Care An Operating Division Of Providence Medical Ctr receive its 1700921970 assignment from the Centers for Medicare & Medicaid Services?

The Providence Care An Operating Division Of Providence Medical Ctr was assigned its 1700921970 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Providence Care An Operating Division Of Providence Medical Ctr, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Providence Care An Operating Division Of Providence Medical Ctr, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-04-20.

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