# KANSAS MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255380127
- **Authorized official:** DR. BADR IDBEIS MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (316) 300-4021

## Contact information

- **Practice address:** 1124 W 21ST, ANDOVER, KS 67002-5500
- **Practice address phone:** (316) 300-4000
- **Practice address fax:** (316) 300-4040
- **Mailing address:** 1124 W 21ST, ANDOVER, KS 67002-5500
- **Mailing address phone:** (316) 300-4000
- **Mailing address fax:** (316) 300-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | H008003 | KS | Yes |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 10/16/2020