Provider Demographics
NPI:1578500484
Name:MIDWEST DIVISON - OPRMC, LLC
Entity Type:Organization
Organization Name:MIDWEST DIVISON - OPRMC, LLC
Other - Org Name:OVERLAND PARK REGIONAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-541-5309
Mailing Address - Street 1:10500 QUIVIRA RD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2306
Mailing Address - Country:US
Mailing Address - Phone:913-541-5000
Mailing Address - Fax:913-541-5035
Practice Address - Street 1:10500 QUIVIRA RD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2306
Practice Address - Country:US
Practice Address - Phone:913-541-5000
Practice Address - Fax:913-541-5035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
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
604109000OtherDEPT OF LABOR
12904OtherHEALTHCARE USA
KS100453760AMedicaid
WI99111486Medicaid
MO11029907Medicaid
KS90117032OtherBLUE CROSS
KS123501OtherUNICARE HEALTHWAVE
304940OtherFIRST GUARD
756800OtherFAMILY HEALTH PARTNERS
WI99111486Medicaid