Provider Demographics
NPI:1174015465
Name:TRUMAN MEDICAL CENTER, INCORPORATED
Entity Type:Organization
Organization Name:TRUMAN MEDICAL CENTER, INCORPORATED
Other - Org Name:UNIVERSITY HEALTH ON THE GO
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, AUDIT & COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ZUBECK
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:816-404-3485
Mailing Address - Street 1:2301 HOLMES ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2640
Mailing Address - Country:US
Mailing Address - Phone:816-404-3485
Mailing Address - Fax:816-404-3601
Practice Address - Street 1:4545 S NOLAND RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-4887
Practice Address - Country:US
Practice Address - Phone:816-404-9810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO086773363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty