1922148907 NPI number — KVC BEHAVIORAL HEALTHCARE INC

Table of content: (NPI 1922148907)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922148907 NPI number — KVC BEHAVIORAL HEALTHCARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KVC BEHAVIORAL HEALTHCARE INC
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:
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:
1922148907
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21350 W 153RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLATHE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66061-5413
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-322-4900
Provider Business Mailing Address Fax Number:
913-825-6481

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21344 W 153RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLATHE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66061-5413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-499-8100
Provider Business Practice Location Address Fax Number:
913-499-8111
Provider Enumeration Date:
02/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KURTZ
Authorized Official First Name:
DIANA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
ACCOUNTING MANAGER
Authorized Official Telephone Number:
913-322-4956

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 283Q00000X , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 323P00000X , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3245S0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 343900000X , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 347C00000X , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 100007240B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100007240F , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 35256011 . This is a "BCBSKC" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100007240C , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1000062490A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5280426 . This is a "AETNA" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100007240E , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100007240H , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 91207017 . This is a "BCBSKC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 016207409 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 91240019 . This is a "BCBSKC" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




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