Provider Demographics
NPI:1083811533
Name:AMERICAN NATIONAL RED CROSS
Entity Type:Organization
Organization Name:AMERICAN NATIONAL RED CROSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TERRITORY SERVICE DELIVERY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:HAWBLITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-841-5231
Mailing Address - Street 1:211 W ARMOUR BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2095
Mailing Address - Country:US
Mailing Address - Phone:816-841-5235
Mailing Address - Fax:
Practice Address - Street 1:211 W ARMOUR BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2095
Practice Address - Country:US
Practice Address - Phone:816-841-5235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO9003875Medicare ID - Type Unspecified
MO9003875AMedicare ID - Type Unspecified
KS9003875DMedicare ID - Type Unspecified