Healthcare Provider Details

I. General information

NPI: 1356839617
Provider Name (Legal Business Name): CHILDREN'S MERCY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2018
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 NW ARGOSY PARKWAY SUITE 150
RIVERSIDE MO
64150-1512
US

IV. Provider business mailing address

2401 GILLHAM ROAD PROVIDER ENROLLMENT DEPT
KANSAS CITY MO
64108-4619
US

V. Phone/Fax

Practice location:
  • Phone: 816-895-5100
  • Fax: 816-302-9818
Mailing address:
  • Phone: 816-701-5200
  • Fax: 816-302-9939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

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