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NPI Code Detail

MEDICARE: MIDWEST DIVISION - RPC, LLC

MEDICARE: MIDWEST DIVISION - RPC, LLC
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
1283Q00000XPsychiatric Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
290241021OTHERKSBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497795892
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST DIVISION - RPC, LLC
Provider Business Mailing Address
First Line : 2323 E 63RD ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-3462
Country : US
Telephone Number : 816-444-8161
Fax Number : 816-333-4495
Provider Business Practice Location Address
First Line : 2323 E 63RD ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-3462
Country : US
Telephone Number : 816-444-8161
Fax Number : 816-333-4495
Authorized Official
Title or Position : CONTROLLER
Name : DANIEL FEHR
Credential :
Telephone Number : 816-235-8108
Provider Enumeration Date : 06/07/2006
Last Update Date : 11/13/2009

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Directions to “MIDWEST DIVISION - RPC, LLC ” Practice Location

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