Provider Demographics
NPI:1629850912
Name:PREMIER HOSPITALISTS OF KANSAS, LLC
Entity Type:Organization
Organization Name:PREMIER HOSPITALISTS OF KANSAS, LLC
Other - Org Name:PREMIER PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:STROTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-755-0144
Mailing Address - Street 1:3515 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4921
Mailing Address - Country:US
Mailing Address - Phone:316-755-0144
Mailing Address - Fax:844-274-1204
Practice Address - Street 1:929 N ST FRANCIS ST FL TOWER6
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3821
Practice Address - Country:US
Practice Address - Phone:316-755-0144
Practice Address - Fax:844-274-1204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty