Organization Name: | MERCY KANSAS COMMUNITIES, INC |
NPI Number: | 1316048176 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHELLY HUNTER (CFO) |
Mailing Address: | 403 Woodland Hills Blvd Fort Scott |
State: | KS US |
Postal Code: | 667018798 |
Phone Number: | 6202238040 |
Fax Number: | 6202238534 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 45022 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |