1962911693 NPI number — UNIVERSITY OF KANSAS HOSPITAL AUTHORITY

Table of content: (NPI 1962911693)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962911693 NPI number — UNIVERSITY OF KANSAS HOSPITAL AUTHORITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
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:
1962911693
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/24/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3901 RAINBOW BLVD
Provider Second Line Business Mailing Address:
MAILSTOP 4040
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66160-8500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-588-2361
Provider Business Mailing Address Fax Number:
913-588-2385

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11300 CORPORATE AVE STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LENEXA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66219-1374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-1586
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/26/2017

Additional Information

Authorized Official

Authorized Official Last Name:
PAGE
Authorized Official First Name:
BOB
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
913-588-7332

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  2-103873 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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