Organization
PRIME HEALTHCARE SERVICES KANSAS CITY, LLC
Active
Parent organization
PRIME HEALTHCARE SERVICES KANSAS CITY, LLC
Other names
St. Joseph Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE SERVICES KANSAS CITY, LLC
Authorized official
PREM REDDY M.D. (CHAIRMAN/PRESIDENT)
(909) 235-4400
Entity
Organization
Contact information
Practice address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
(816) 942-4400
Mailing address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
(816) 942-4400
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
287-37
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099610A
—
KS
05
—
10156305
—
MO
01
—
440546292
TRICARE
—
Enumeration date
11/17/2014
Last updated
06/04/2015
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