| NPI | 1528350634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY VARGAS Credentials Specialist 913-428-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MO 2004019801) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 2004019801) |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2011-05-07 |