Provider Demographics
NPI:1821152448
Name:MERCY HEALTH SYSTEM OF KANSAS INC.
Entity Type:Organization
Organization Name:MERCY HEALTH SYSTEM OF KANSAS INC.
Other - Org Name:LIFELINE
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL CHIARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-223-7057
Mailing Address - Street 1:401 WOODLAND HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-8797
Mailing Address - Country:US
Mailing Address - Phone:620-223-2200
Mailing Address - Fax:620-223-7065
Practice Address - Street 1:401 WOODLAND HILLS BLVD
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-8797
Practice Address - Country:US
Practice Address - Phone:620-223-2200
Practice Address - Fax:620-223-7065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA-006-001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health