# PRIME HEALTHCARE SERVICES-PROVIDENCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528301900
- **Authorized official:** CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (310) 259-4706

## Contact information

- **Practice address:** 8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
- **Practice address phone:** (909) 235-4400
- **Practice address fax:** (909) 235-4418
- **Mailing address:** 8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
- **Mailing address phone:** (909) 235-4362
- **Mailing address fax:** (909) 235-4418

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2013
- **Last updated:** 07/28/2025