Provider Demographics
NPI:1134306665
Name:CATHOLIC CHARITIES OF KANSAS CITY-ST.JOSEPH, INC.
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF KANSAS CITY-ST.JOSEPH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-221-4377
Mailing Address - Street 1:300 E ARMOUR BLVD
Mailing Address - Street 2:SUITE 650, ROOM 105
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-1213
Mailing Address - Country:US
Mailing Address - Phone:816-333-2040
Mailing Address - Fax:
Practice Address - Street 1:300 E ARMOUR BLVD
Practice Address - Street 2:SUITE 650, ROOM 105
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-1213
Practice Address - Country:US
Practice Address - Phone:816-333-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005041511251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health