Organization
PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC
Active
Other names
St. Mary's Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
(816) 228-5900
Mailing address
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
(816) 228-5900
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
403-20
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11444403
—
MO
01
—
431284526
TRICARE
—
Enumeration date
11/10/2014
Last updated
03/27/2024
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