MEDICARE: COMMUNITY BLOOD CENTER OF GREATER KANSAS CITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	331L00000X	Blood Bank

General Provider Information

NPI Number	:	1104036847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY BLOOD CENTER OF GREATER KANSAS CITY

Provider Business Mailing Address
First Line	:	4040 MAIN ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2308
Country	:	US
Telephone Number	:	816-753-4040
Fax Number	:	816-968-4430

Provider Business Practice Location Address
First Line	:	4040 MAIN ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2308
Country	:	US
Telephone Number	:	816-753-4040
Fax Number	:	816-968-4430

Authorized Official
Title or Position	:	MEDICAL DIRECTOR EXECUTIVE DIRECTOR
Name	:	DR. JAY E MENITOVE
Credential	:	M.D.
Telephone Number	:	816-753-4040

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	08/22/2020

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Directions to “COMMUNITY BLOOD CENTER OF GREATER KANSAS CITY ” Practice Location

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