Provider Demographics
NPI:1699023663
Name:MERCY KANSAS COMMUNITIES INC
Entity Type:Organization
Organization Name:MERCY KANSAS COMMUNITIES INC
Other - Org Name:MERCY CONVENIENT CARE-NATIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:620-223-2200
Mailing Address - Street 1:1624 S NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-2645
Mailing Address - Country:US
Mailing Address - Phone:620-223-5000
Mailing Address - Fax:620-223-5011
Practice Address - Street 1:1624 S NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-2645
Practice Address - Country:US
Practice Address - Phone:620-223-5000
Practice Address - Fax:620-223-5011
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCY KANSAS COMMUNITIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-24
Last Update Date:2012-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care