Organization
ER HOSPITALIST SERVICES
Active
Parent organization
PROVIDENCE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE MEDICAL CENTER
Authorized official
MR. MICHAEL A DORSEY (CEO PROVIDENCE HEALTH)
(913) 596-4000
Entity
Organization
Contact information
Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(913) 596-4000
Mailing address
PO BOX 12301, KANSAS CITY, KS 66112-0301
(913) 825-6512
(913) 328-7011
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200364860A
—
KS
Enumeration date
07/29/2008
Last updated
07/29/2008
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