Healthcare Provider Details
I. General information
NPI: 1821035882
Provider Name (Legal Business Name): CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19600 E 39TH ST S
INDEPENDENCE MO
64057-2301
US
IV. Provider business mailing address
19600 E 39TH ST S
INDEPENDENCE MO
64057-2301
US
V. Phone/Fax
- Phone: 816-836-8100
- Fax: 816-836-6603
- Phone: 816-836-8100
- Fax: 816-836-6603
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
H.
BROWN
Title or Position: CFO
Credential:
Phone: 816-698-7001