Healthcare Provider Details

I. General information

NPI: 1386015709
Provider Name (Legal Business Name): TRUMAN MEDICAL CENTER, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2015
Last Update Date: 09/25/2021
Certification Date: 09/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 CHARLOTTE
KANSAS CITY MO
64108
US

IV. Provider business mailing address

2301 HOLMES ST
KANSAS CITY MO
64108-2640
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-1000
  • Fax:
Mailing address:
  • Phone: 816-404-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2015034885
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number2015034885
License Number StateMO

VIII. Authorized Official

Name: BARBARA ZUBECK
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 816-404-3485