1902819097 NPI number — UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY KANSAS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902819097 NPI number — UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY KANSAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY KANSAS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902819097
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
619 ANN AVE
Provider Second Line Business Mailing Address:
HEALTH DEPARTMENT
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66101-3038
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-573-6704
Provider Business Mailing Address Fax Number:
913-321-7932

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
619 ANN AVE
Provider Second Line Business Practice Location Address:
HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66101-3038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-573-6724
Provider Business Practice Location Address Fax Number:
913-321-7932
Provider Enumeration Date:
08/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RIOS
Authorized Official First Name:
TANIA
Authorized Official Middle Name:
Authorized Official Title or Position:
PATIENT SUPPORT SERVICES SUPERVISOR
Authorized Official Telephone Number:
913-573-8855

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100260930B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100222000B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100260230G , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201239010A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00218851 . This is a "RAILROAD PALMETTO GBA" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 1902819097 , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 460091 . This is a "CM FAMILY HEALTH PARTNERS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 481194075-A . This is a "HUMANA" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100260930B . This is a "UNICARE" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




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