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NPI Code Detail

MEDICARE: MERCY KANSAS COMMUNITIES, INC

MEDICARE: MERCY KANSAS COMMUNITIES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician24746KS
2207Q00000XFamily Medicine Physician17312KS
3207Q00000XFamily Medicine Physician18448KS
4207V00000XObstetrics & Gynecology Physician31674KS
5208600000XSurgery Physician22858KS
6208000000XPediatrics Physician04-25914KS
7207R00000XInternal Medicine Physician04-25914KS
8208600000XSurgery Physician04-32360KS
9363LF0000XFamily Nurse Practitioner45086KS
10207XX0005XSports Medicine (Orthopaedic Surgery) Physician04-33417KS
11363LF0000XFamily Nurse Practitioner44801KS
12363LF0000XFamily Nurse Practitioner45022KS
13363L00000XNurse Practitioner75331KS
14207Q00000XFamily Medicine Physician04-34210KS
15207Q00000XFamily Medicine Physician04-30826KS

General Provider Information

NPI Number : 1316048176
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY KANSAS COMMUNITIES, INC
Provider Business Mailing Address
First Line : 403 WOODLAND HILLS BLVD
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-8798
Country : US
Telephone Number : 620-223-8040
Fax Number : 620-223-8534
Provider Business Practice Location Address
First Line : 403 WOODLAND HILLS BLVD
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-8798
Country : US
Telephone Number : 620-223-8040
Fax Number : 620-223-8534
Authorized Official
Title or Position : CFO
Name : SHELLY HUNTER
Credential :
Telephone Number : 417-625-2459
Provider Enumeration Date : 09/26/2006
Last Update Date : 06/09/2014

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Directions to “MERCY KANSAS COMMUNITIES, INC ” Practice Location

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