Healthcare Provider Details

I. General information

NPI: 1043473556
Provider Name (Legal Business Name): THE CHILDRENS MERCY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date: 09/25/2019
Reactivation Date: 02/28/2020

III. Provider practice location address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

V. Phone/Fax

Practice location:
  • Phone: 816-701-5200
  • Fax:
Mailing address:
  • Phone: 816-302-6843
  • Fax: 816-346-1336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number001769
License Number StateMO

VIII. Authorized Official

Name: ROBERT D FINUF II
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 816-701-5200