Provider Demographics
NPI:1497795892
Name:MIDWEST DIVISION - RPC, LLC
Entity Type:Organization
Organization Name:MIDWEST DIVISION - RPC, LLC
Other - Org Name:RESEARCH PSYCHIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FEHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-235-8108
Mailing Address - Street 1:2323 E 63RD ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-3462
Mailing Address - Country:US
Mailing Address - Phone:816-444-8161
Mailing Address - Fax:816-333-4495
Practice Address - Street 1:2323 E 63RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130-3462
Practice Address - Country:US
Practice Address - Phone:816-444-8161
Practice Address - Fax:816-333-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200265050AMedicaid
KS90241021OtherBLUE CROSS
MO013320908Medicaid
KS90241021OtherBLUE CROSS