Organization Active NPI

Mercy Kansas Communities Inc

  • Emergency Care Clinic/Center
  • Independence, KS
National Provider Identifier
1417064957
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
H-063-004 Issued in KS
Legal business name
MERCY KANSAS COMMUNITIES INC
Practice address
800 W Myrtle St
Independence, KS 67301-3240
Phone
(620) 331-2200
NPI assigned
Aug 23, 2006
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY KANSAS COMMUNITIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Shelly Hunter
Title
Cfo
Phone
(417) 625-2459

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X H-063-004 KS Primary
Certified Registered Nurse Anesthetist 367500000X H-063-004 KS

Addresses

Primary practice location

800 W Myrtle St
Independence, KS 67301-3240

Mailing address

800 W Myrtle St
Independence, KS 67301-3240
Phone (620) 331-2200

Other identifiers 2

IdentifierTypeStateIssuer
014048OtherKSBLUE CROSS, PC
100089300DMedicaidKS

Other names 1

  • MERCY HOSPITAL-INDEPENDENCE Other name

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital of Kansas Inc18 organizations share this tax ID, including this one
Part of
Mercy Hospital of Kansas Inc

Other organizations with this tax ID 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1417064957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MYRTLE ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013240",
            "telephone_number": "620-331-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MYRTLE ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013240",
            "telephone_number": "620-331-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY KANSAS COMMUNITIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY KANSAS COMMUNITIES INC",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "417-625-2459"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "KS",
            "license": "H-063-004",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "H-063-004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, PC",
            "identifier": "014048",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089300D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HOSPITAL-INDEPENDENCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Independence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.