PROVIDENCE CARE AN OPERATING DIVISION OF PROVIDENCE MEDICAL CTR

BONNER SPRINGS, KS
NPI1700921970
Entity TypeOrganization
Authorized ContactRANDALL G NYP
President/CEO
913-596-4000
Organization Subpart ?Yes
Primary Taxonomy208D00000X General Practice
Enumeration Date2007-02-21
Last Update Date2012-04-20
Business Address
PROVIDENCE CARE AN OPERATING DIVISION OF PROVIDENCE MEDICAL CTR
913 SHEIDLEY AVE
BONNER SPRINGS, KS 66012-9514
Phone number: 913-322-7222
Mailing Address
PROVIDENCE CARE AN OPERATING DIVISION OF PROVIDENCE MEDICAL CTR
DEPT CH 14363
PALATINE, IL 60055-4363
Phone number: 785-295-8108