Providence Care an Operating Division of Providence Medical Ctr
NPI #1700921970 in Bonner Springs, Kansas
Provider Information
- NPI Number
- 1700921970
- Entity Type
- Organization
- Organization Name
- Providence Care an Operating Division of Providence Medical Ctr
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE MEDICAL CENTER
- Primary Specialty
- General Practice
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Apr 20, 2012
Practice Location
- Address
- 913 SHEIDLEY AVE
- City
- Bonner Springs
- State
- Kansas
- ZIP Code
- 66012-9514
- Phone
- (913) 322-7222
Authorized Official
- Name
- RANDALL G NYP
- Title
- PRESIDENT/CEO
- Phone
- (913) 596-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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