NPIMap

Organization Active NPI

Midwest Division - MMC, LLC

Doing business as Menorah Medical Center

  • Psychiatric Hospital Unit
  • Overland Park, KS
National Provider Identifier
1265479356
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
MIDWEST DIVISION - MMC, LLC
Doing business as
Menorah Medical Center
Practice address
5721 W 119TH St
Overland Park, KS 66209-3722
Phone
(913) 498-6000
Fax
(913) 498-7106
NPI assigned
May 31, 2006
Last updated
Mar 30, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDWEST DIVISION - MMC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debbie Gafford
Title
Cfo
Phone
(913) 498-6769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

5721 W 119TH St
Overland Park, KS 66209-3722

Mailing address

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-6000

Other names 1

  • MENORAH MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwest Division - MMC LLC3 organizations share this tax ID, including this one
Part of
Midwest Division - MMC LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1265479356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093722",
            "telephone_number": "913-498-6000",
            "fax_number": "913-498-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093722",
            "telephone_number": "913-498-6000",
            "fax_number": "913-498-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DIVISION - MMC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST DIVISION - MMC, LLC",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "GAFFORD",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "913-498-6769"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENORAH MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.