Organization Active NPI

Kansas Medical Center, LLC

Doing business as KMC Physicians Part A

  • General Acute Care Hospital
  • Andover, KS
National Provider Identifier
1407304256
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H-008-003 Issued in KS
Legal business name
KANSAS MEDICAL CENTER, LLC
Doing business as
KMC Physicians Part A
Practice address
1124 W 21St St
Andover, KS 67002-5500
Phone
(316) 300-4000
Fax
(316) 300-4040
NPI assigned
Sep 21, 2016
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Mr. Steven Hadley
Title
Chief Business Executive
Phone
(316) 300-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H-008-003 KS Primary

Addresses

Primary practice location

1124 W 21St St
Andover, KS 67002-5500

Mailing address

1124 W 21St St
Andover, KS 67002-5500
Phone (316) 300-4000

Other names 1

  • KMC Physicians Part A Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cypress Heart4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1407304256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W 21ST ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670025500",
            "telephone_number": "316-300-4000",
            "fax_number": "316-300-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W 21ST ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670025500",
            "telephone_number": "316-300-4000",
            "fax_number": "316-300-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF BUSINESS EXECUTIVE",
        "authorized_official_telephone_number": "316-300-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KS",
            "license": "H-008-003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KMC Physicians Part A",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KMC Physicians Part A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.