| Prime Healthcare Services - Kansas City Llc | |
|
1000 Carondelet Dr Kansas City MO 64114-4673 | |
| (816) 942-4400 | |
| Not Available |
| Full Name | Prime Healthcare Services - Kansas City Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1000 Carondelet Dr, Kansas City, Missouri |
| Authorized Official Name and Position | Christopher Doan (LEGAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services - Kansas City Llc 1000 Carondelet Dr Kansas City MO 64114-4673 Ph: (816) 942-4400 | Prime Healthcare Services - Kansas City Llc 1000 Carondelet Dr Kansas City MO 64114-4673 Ph: (816) 942-4400 |
| NPI Number | 1376031757 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 05/01/2018 |
| Medicare PECOS PAC ID | 8224350681 |
|---|---|
| Medicare Enrollment ID | O20190415001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376031757 | NPI | - | NPPES |
| 10156305 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Missouri) | Primary |
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