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

Table of content: (NPI 1902819097)

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:
UNIFIED GOVERNMENT PUBLIC HEALTH DEPARTMENT
Provider Other Organization Name Type Code:
3
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:
10/19/2021
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:
VAN LIEW
Authorized Official First Name:
JULIANN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
913-573-6707

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




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