1760705156 NPI number — UNIVERSITY OF KANSAS HOSPITAL AUTHORITY

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 1760705156 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:
1760705156
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2330 SHAWNEE MISSION PARKWAY
Provider Second Line Business Mailing Address:
STE. 312
Provider Business Mailing Address City Name:
WESTWOOD
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66205-0000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-945-5614
Provider Business Mailing Address Fax Number:
913-945-5617

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2330 SHAWNEE MISSION PARKWAY STE. 2200
Provider Second Line Business Practice Location Address:
MISSYS' BOUTIQUE
Provider Business Practice Location Address City Name:
WESTWOOD
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66205-2005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-945-5800
Provider Business Practice Location Address Fax Number:
913-945-5802
Provider Enumeration Date:
03/12/2010

Additional Information

Authorized Official

Authorized Official Last Name:
GLASRUD
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE VP & CFO
Authorized Official Telephone Number:
913-945-5469

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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