# PROVIDENCE MEDICAL CENTER, INC

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

## Provider details

- **NPI number:** 1801896915
- **Authorized official:** MR. MICHAEL DORSEY (INTERIM CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (913) 596-4882

## Contact information

- **Practice address:** 8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
- **Practice address phone:** (913) 596-4000
- **Mailing address:** 8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
- **Mailing address phone:** (913) 596-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | H105003 | KS | Yes |

## Other

- **Enumeration date:** 07/29/2005
- **Last updated:** 08/22/2020