Organization Active NPI

University of Kansas Hospital Authority

Doing business as University of Kansas Hospital at Indian Creek Campus

  • General Acute Care Hospital
  • Overland Park, KS
National Provider Identifier
1679833008
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H-105-002 Issued in KS
Legal business name
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
Doing business as
University of Kansas Hospital at Indian Creek Campus
Practice address
10720 Nall Ave
Overland Park, KS 66211-1206
Phone
(913) 754-5000
Fax
(913) 660-1244
NPI assigned
May 18, 2012
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF KANSAS HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Mr. Bob Page
Title
President & Ceo
Phone
(913) 588-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H-105-002 KS Primary

Addresses

Primary practice location

10720 Nall Ave
Overland Park, KS 66211-1206

Mailing address

2330 Shawnee Mission Pkwy
Suite 200
Westwood, KS 66205-2005
Phone (913) 945-5361

Other identifiers 3

IdentifierTypeStateIssuer
010567808MedicaidMO
100099470AMedicaidKS
100103330AMedicaidKS

Other names 1

  • University of Kansas Hospital at Indian Creek Campus Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D1017145University of Kansas Hospital, the10720 Nall Avenue, Overland Park, KS 66211AccreditationDec 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
University of KS Authority24 organizations share this tax ID, including this one
Part of
University of KS Authority

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1679833008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SHAWNEE MISSION PKWY",
            "address_2": "SUITE 200",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662052005",
            "telephone_number": "913-945-5361",
            "fax_number": "913-588-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111206",
            "telephone_number": "913-754-5000",
            "fax_number": "913-660-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF KANSAS HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF KANSAS HOSPITAL AUTHORITY",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "913-588-1270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KS",
            "license": "H-105-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010567808",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099470A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103330A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Kansas Hospital at Indian Creek Campus",
            "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 May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.