# STORMONT-VAIL HEALTHCARE

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

## Provider details

- **NPI number:** 1720422306
- **Authorized official:** MR. RANDALL PETERSON (CEO)
- **Authorized official phone:** (785) 354-6000

## Contact information

- **Practice address:** 1414 SW 8TH AVE, TOPEKA, KS 66606-1535
- **Practice address phone:** (785) 270-4978
- **Practice address fax:** (785) 354-5309
- **Mailing address:** 1414 SW 8TH AVE, TOPEKA, KS 66606-1535
- **Mailing address phone:** (785) 270-4978
- **Mailing address fax:** (785) 354-5309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0200X | Oncology Clinic/Center | 5197 | KS | Yes |

## Other

- **Enumeration date:** 04/25/2013
- **Last updated:** 04/25/2013