Organization
THE CHILDREN'S MERCY HOSPITAL
Active
Other names
Children's Mercy Dialysis Program, The Children's Mercy Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D FINUF II (SENIOR VICE PRESIDENT)
(816) 701-5200
Entity
Organization
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, ATTN: PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010931608
—
MO
05
—
30003904070002
—
KS
Enumeration date
01/29/2007
Last updated
04/18/2025
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