Provider Demographics
NPI:1356839617
Name:CHILDREN'S MERCY HOSPITAL
Entity Type:Organization
Organization Name:CHILDREN'S MERCY HOSPITAL
Other - Org Name:CHILDREN'S MERCY RIVERSIDE PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:FINUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-559-9370
Mailing Address - Street 1:2401 GILLHAM ROAD
Mailing Address - Street 2:PROVIDER ENROLLMENT DEPT
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-701-5200
Mailing Address - Fax:816-302-9939
Practice Address - Street 1:700 NW ARGOSY PARKWAY
Practice Address - Street 2:SUITE 150
Practice Address - City:RIVERSIDE
Practice Address - State:MO
Practice Address - Zip Code:64150-1512
Practice Address - Country:US
Practice Address - Phone:816-895-5100
Practice Address - Fax:816-302-9818
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDREN'S MERCY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-23
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy