Provider Demographics
NPI:1225085871
Name:MIDWEST DIVISION - LSH, LLC
Entity Type:Organization
Organization Name:MIDWEST DIVISION - LSH, LLC
Other - Org Name:LEE'S SUMMIT MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HEURTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-282-5020
Mailing Address - Street 1:2100 SE BLUE PKWY
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-1007
Mailing Address - Country:US
Mailing Address - Phone:816-282-5000
Mailing Address - Fax:816-969-6519
Practice Address - Street 1:2100 SE BLUE PKWY
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-1007
Practice Address - Country:US
Practice Address - Phone:816-282-5000
Practice Address - Fax:816-969-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
515730OtherFIRST GUARD
MO010851905Medicaid
KS200265040AMedicaid
758100OtherFAMILY HEALTH PARTNERS
8335OtherHEALTHCARE USA
KS90147024OtherBLUE CROSS
IL=========001MedicaidMEDICAID OF IL
KS90147024OtherBLUE CROSS
8335OtherHEALTHCARE USA