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NPI Code Detail

MEDICARE: NORTHLAND PSYCHIATRIC SPECIALISTS LLC

MEDICARE: NORTHLAND PSYCHIATRIC SPECIALISTS 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
1174400000XSpecialist2002010580MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DF7523OTHERMOMEDICARE RAILROAD

General Provider Information

NPI Number : 1861526394
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHLAND PSYCHIATRIC SPECIALISTS LLC
Provider Business Mailing Address
First Line : 211 NE 54TH ST
Second Line : SUITE 201
City : KANSAS CITY
State : MO
Zip : 64118-4390
Country : US
Telephone Number : 816-453-6777
Fax Number : 816-454-3601
Provider Business Practice Location Address
First Line : 211 NE 54TH ST
Second Line : SUITE 201
City : KANSAS CITY
State : MO
Zip : 64118-4390
Country : US
Telephone Number : 816-453-6777
Fax Number : 816-454-3601
Authorized Official
Title or Position : OFFICE MANAGER
Name : VIOLA C HILL
Credential :
Telephone Number : 816-453-6777
Provider Enumeration Date : 03/15/2007
Last Update Date : 04/01/2014

Similar Medicare Providers

1013957257 — DR. DANIEL V SPURLOCK D.O.
Practice Location Address:
211 NE 54TH ST , SUITE 201
KANSAS CITY, MO
64118-4390
Practice Phone: 816-453-6777
Practice Fax: 816-464-3601
1801838297 — DR. STEVEN EUGENE KISKER M.D.
Practice Location Address:
211 NE 54TH ST , SUITE 201
KANSAS CITY, MO
64118-4390
Practice Phone: 816-453-6777
Practice Fax: 816-454-3601
1962559377 — DR. JEFFREY CHARLES MEYER D.O.
Practice Location Address:
211 NE 54TH ST , SUITE 201
KANSAS CITY, MO
64118-4390
Practice Phone: 816-453-6777
Practice Fax: 816-454-3601
1255544698 — JILL MARIE ROSBRUGH M.D.
Practice Location Address:
211 NE 54TH ST , SUITE 201
KANSAS CITY, MO
64118-4390
Practice Phone: 816-453-6777
Practice Fax: 816-454-3601
1700071479 — SUNITA MURANJAN MD
Practice Location Address:
211 NE 54TH ST , SUITE 201
KANSAS CITY, MO
64118-4390
Practice Phone: 816-453-6777
Practice Fax: 816-454-3601
1144457144 — MRS. JUDITH ANN TUBBS ARNP
Practice Location Address:
211 NE 54TH ST , SUITE 201
KANSAS CITY, MO
64118-4390
Practice Phone: 816-453-6777
Practice Fax: 816-454-3601

Directions to “NORTHLAND PSYCHIATRIC SPECIALISTS LLC ” Practice Location

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