Organization
CENTERPOINT HOSPITAL BASED PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN W CALDWELL (CEO)
(816) 698-7001
Entity
Organization
Contact information
Practice address
19600 E 39TH ST S, 3RD FLOOR OB, INDEPENDENCE, MO 64057-2301
(816) 698-7189
(816) 698-7369
Mailing address
19600 E 39TH ST S, 3RD FLOOR OB, INDEPENDENCE, MO 64057-2301
(816) 698-7189
(816) 698-7369
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200627590 A
—
KS
Enumeration date
12/31/2008
Last updated
12/02/2009
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