Organization
MIDWEST DIVISION - MCI, LLC
Active
Other names
MEDICAL CENTER OF INDEPENDENCE
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE DEHAVEN (CFO)
(816) 836-6602
Entity
Organization
Contact information
Practice address
17203 E 23RD ST S, INDEPENDENCE, MO 64057-1859
(816) 478-5000
(816) 836-6603
Mailing address
17203 E 23RD ST S, INDEPENDENCE, MO 64057-1859
(816) 478-5000
(816) 836-6603
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1707066
—
LA
01
—
40917
HEALTHCARE USA
—
01
—
515790
FIRST GUARD
—
01
—
756700
FAMILY HEALTH PARTNERS
—
01
—
90039027
BLUE CROSS
KS
Enumeration date
05/28/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us