PRIME HEALTHCARE SERVICES KANSAS CITY, LLC (NPI# 1528463080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528463080 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES KANSAS CITY, LLC |
| Other Organization Name | ST. JOSEPH MEDICAL CENTER |
| Practice Address |
1000 Carondelet Dr Kansas City MO 64114-4673 |
| Practice Telephone | 8169424400 |
| Mailing Telephone | 8169424400 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | PREM REDDY (PRESIDENT/CHAIRMAN/CEO) |
| Authorized Official Telephone | 9092354400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 287-37 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100099610A | 05 | |
| MO | 10156305 | 05 | |
| TRICARE | 440546292 | 01 |
| Other Name | Type Code |
|---|---|
| St. Joseph Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558767624 | Prime Healthcare Services Kansas City, LLC | Rehabilitation Unit | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2014-11-17 |
| Street Address |
1000 CARONDELET DR |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363838 | Carondelet Emergency Physicians Inc | Emergency Medicine | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2005-06-01 |
| 1871117465 | Kensey Demoss | Speech-Language Pathologist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-05-30 |
| 1447882345 | Sean Hudson | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-02-08 |
| 1174162556 | Alexandra Rozman-o'neill | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-01-02 |
| 1992344691 | Mary Davidson | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2019-12-27 |
| 1053959825 | Fadia Khuffash | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2019-12-12 |
| 1144868969 | Amanda K Howell | Nurse Practitioner | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 | 2019-12-11 |
| 1174160485 | Melissa Ann Dusenberry | Nurse Practitioner | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 | 2019-12-05 |
| 1821578501 | Amanda Hocker | Clinical Nurse Specialist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-08-21 |
| 1336634294 | Amanda K Goldsmith | Nurse Practitioner | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1639624141 | Matthew Tyler Howard | General Acute Care Hospital | 2032 Sudler, Ku Med Center, Kansas City, KS 66160-0001 | 2016-08-25 |
| 1710202437 | University of Kansas Medical Center | General Acute Care Hospital | 3900 Rainbow Blvd, Kansas City, KS 66103-2918 | 2010-04-06 |
| 1649259656 | University of Kansas Hospital Authority | General Acute Care Hospital | 4000 Cambridge Street, Kansas City, KS 66160-8501 | 2006-01-10 |
| 1932642972 | St. Luke's Hospital of Kansas City | General Acute Care Hospital | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2016-11-23 |
| 1942654298 | Veterans Administration | General Acute Care Hospital | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2016-04-22 |
| 1558776385 | University of Kansas Physician | General Acute Care Hospital | 3901 Rainbow Blvd, 1440 Ku Hospital, Mail Stop 1034, Kansas City, KS 66160-7415 | 2014-07-01 |
| 1457794299 | Daniel Ross Bachman | General Acute Care Hospital | 2301 Holmes St, Dept of Orthopedics, Kansas City, MO 64108-2640 | 2013-04-11 |
| 1578906673 | Kansas University Physicians, Inc. | General Acute Care Hospital | 3901 Rainbow Blvd, 4070 Delp, Mail Stop 4017, Kansas City, KS 66160-8500 | 2013-04-09 |
| 1528301900 | Prime Healthcare Services - Providence, LLC | General Acute Care Hospital | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2013-04-03 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.