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Organization

MIDWEST DIVISION - MMC, LLC

Active
Other names
MENORAH MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
JOE SERENO (CFO)
(913) 498-6000
Entity
Organization

Contact information

Practice address
5721 W 119TH ST, OVERLAND PARK, KS 66209-3722
(913) 498-6000
(913) 498-7106
Mailing address
5721 W 119TH ST, OVERLAND PARK, KS 66209-3722
(913) 498-6000
(913) 498-7106

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025318900
NE
05
100642360A
KS
01
304260
FIRST GUARD
01
33425
HEALTHCARE USA
01
604109400
DEPT OF LABOR
01
756900
FAMILY HEALTH PARTNERS
01
90549036
BLUE CROSS
KS
Enumeration date
05/31/2006
Last updated
09/24/2025
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