Kansas City Community Hospital, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

KANSAS CITY COMMUNITY HOSPITAL, LLC

Practice address

13200 State Line Road
Leawood, KS 66209

Phone

(844) 285-1005

Fax

(855) 490-1799

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Teresa Collins

Title

President of Saint Luke'S Community

Phone

(816) 932-2338

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1538674338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-502-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 STATE LINE ROAD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "844-285-1005",
            "fax_number": "855-490-1799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7246 W 75th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662042949",
            "country_code": "US",
            "telephone_number": "844-285-1005",
            "fax_number": "855-490-1799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10544 Parallel Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "66109",
            "country_code": "US",
            "telephone_number": "844-285-1005",
            "fax_number": "855-490-1799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Roeland Park",
            "state": "KS",
            "postal_code": "662052903",
            "country_code": "US",
            "telephone_number": "913-222-8399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13405 S Blackbob Rd",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660621502",
            "country_code": "US",
            "telephone_number": "913-222-8325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KANSAS CITY COMMUNITY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT OF SAINT LUKE'S COMMUNITY",
        "authorized_official_telephone_number": "816-932-2338"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.