Healthcare Provider Details

I. General information

NPI: 1235923194
Provider Name (Legal Business Name): THE CHILDREN'S MERCY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
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 RD PROVIDER ENROLLMENT DEPARTMENT
KANSAS CITY MO
64108-4619
US

V. Phone/Fax

Practice location:
  • Phone: 816-895-5100
  • Fax:
Mailing address:
  • Phone: 816-701-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBERT D FINUF II
Title or Position: SVP, VALUE AND PAYOR RELATIONS
Credential:
Phone: 816-701-5200