Organization
VAN JONES DO AN OPERATING DIVISION OF PROVIDENCE MEDICAL CENTER
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)
(913) 596-4000
Entity
Organization
Contact information
Practice address
712 1ST TER, SUITE C, LANSING, KS 66043-1735
(913) 682-6950
(913) 682-8523
Mailing address
PO BOX 12352, KANSAS CITY, KS 66112-0352
(913) 825-6512
(913) 328-7011
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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