Organization
PEDIATRIC CARE IRRV TRUST
Active
Parent organization
STORMONT-VAIL HEALTHCARE INC
Other names
PediatricCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
STORMONT-VAIL HEALTHCARE INC
Authorized official
MS. DEBRA YOCUM CPA (VICE PRESIDENT)
(785) 354-9591
Entity
Organization
Contact information
Practice address
4100 SW 15TH ST, TOPEKA, KS 66604-4333
(785) 273-8224
(785) 273-0524
Mailing address
4100 SW 15TH ST, TOPEKA, KS 66604-4333
(785) 273-8224
(785) 273-0524
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100278070A
—
KS
01
—
KA2129
MEDICARE PTAN
KS
Enumeration date
09/20/2006
Last updated
06/19/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up