Organization
HEARTLAND REGIONAL MEDICAL CENTER
Active
Other names
Mosaic Life Care Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILSON (CFO)
(816) 271-6611
Entity
Organization
Contact information
Practice address
6301 N LUCERNE AVE, KANSAS CITY, MO 64151-3105
(816) 569-1802
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
246-0
MO
Other
Enumeration date
10/11/2012
Last updated
09/09/2014
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