Organization
KANSAS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BADR IDBEIS MD (CHIEF EXECUTIVE OFFICER)
(316) 300-4021
Entity
Organization
Contact information
Practice address
1124 W 21ST, ANDOVER, KS 67002-5500
(316) 300-4000
(316) 300-4040
Mailing address
1124 W 21ST, ANDOVER, KS 67002-5500
(316) 300-4000
(316) 300-4040
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H008003
KS
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200408390C
—
KS
Enumeration date
05/09/2006
Last updated
10/16/2020
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