Provider Demographics
NPI:1598809600
Name:THE CHILDREN'S MERCY HOSPITAL
Entity Type:Organization
Organization Name:THE CHILDREN'S MERCY HOSPITAL
Other - Org Name:CHILDREN'S MERCY HOME CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP, VALUE & PAYOR RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:FINUF
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:816-559-9370
Mailing Address - Street 1:PO BOX 802840
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2840
Mailing Address - Country:US
Mailing Address - Phone:816-701-5200
Mailing Address - Fax:816-302-9939
Practice Address - Street 1:700 NW ARGOSY PKWY
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:MO
Practice Address - Zip Code:64150-1512
Practice Address - Country:US
Practice Address - Phone:816-895-5000
Practice Address - Fax:816-302-9939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0004X
KSA046-046333600000X
MO37417HH333600000X, 3336H0001X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100023380JMedicaid
MO600012849Medicaid
KS100080290KMedicaid