Provider Demographics
NPI:1467728865
Name:MERCY KANSAS COMMUNITIES INC
Entity Type:Organization
Organization Name:MERCY KANSAS COMMUNITIES INC
Other - Org Name:MERCY HOSPICE - FORT SCOTT
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-625-2459
Mailing Address - Street 1:902 HORTON ST
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-2438
Mailing Address - Country:US
Mailing Address - Phone:620-223-8090
Mailing Address - Fax:620-223-8092
Practice Address - Street 1:902 HORTON ST
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-2438
Practice Address - Country:US
Practice Address - Phone:620-223-8090
Practice Address - Fax:620-223-8092
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCY KANSAS COMMUNITIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-29
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH-006-001251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS171587Medicare Oscar/Certification