Healthcare Provider Details
I. General information
NPI: 1184768293
Provider Name (Legal Business Name): THE CHILDREN'S MERCY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2007
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 NW ARGOSY PKWY
RIVERSIDE MO
64150-1512
US
IV. Provider business mailing address
2401 GILLHAM ROAD ATTN: PROVIDER ENROLLMENT
KANSAS CITY MO
64108-4619
US
V. Phone/Fax
- Phone: 816-895-5000
- Fax: 816-302-9939
- Phone: 816-701-5200
- Fax: 816-302-9939
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | A046046 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | A046046 |
| License Number State | KS |
VIII. Authorized Official
Name:
ROBERT
D
FINUF
II
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 816-701-5200