# PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC
- **Other names:** St. Mary's Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962809947
- **Legal business name:** PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC
- **Authorized official:** PREM REDDY M.D. (CHAIRMAN/PRESIDENT)
- **Authorized official phone:** (909) 235-4400

## Contact information

- **Practice address:** 201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
- **Practice address phone:** (816) 228-5900
- **Mailing address:** 201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
- **Mailing address phone:** (816) 228-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 403-20 | MO | Yes |

## Other

- **Enumeration date:** 11/19/2014
- **Last updated:** 11/19/2014