MEDICARE: MMS KANSAS CITY INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22834016	OTHER	MO	BLUE CROSS BLUE SHIELD MO
2	705384	OTHER	KS	BLUE CROSS BLUE SHIEDL KS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346373560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MMS KANSAS CITY INC.

Provider Business Mailing Address
First Line	:	7820 JUNIPER DR
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-4429
Country	:	US
Telephone Number	:	913-385-3700
Fax Number	:	913-385-3700

Provider Business Practice Location Address
First Line	:	7820 JUNIPER DR
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-4429
Country	:	US
Telephone Number	:	913-385-3700
Fax Number	:	913-385-3700

Authorized Official
Title or Position	:	OWNER
Name	:	MS. APRIL E GIDDENS
Credential	:
Telephone Number	:	913-385-3700

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/22/2020

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