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Contact Information

KANSAS MEDICAL CENTER, LLC
1124 W. 21ST ST
ANDOVER, KS67002
 Phone: 316-300-4000
 Fax: 316-300-4040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KANSAS MEDICAL CENTER, LLC

NPI Number 1801007786
LBN Legal business name KANSAS MEDICAL CENTER, LLC
Authorized official STEVEN HADLEY - (CHIEF BUSINESS EXECUTIVE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/24/2007
Last updated 11/10/2023 - About 3 years ago
Identifiers
KS Medicaid 200408390B
KS Other 111283 BSBSKS
KS Other DN3967 RR MEDICARE
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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