Provider Demographics
NPI:1902819097
Name:UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY KANSAS
Entity Type:Organization
Organization Name:UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY KANSAS
Other - Org Name:UNIFIED GOVERNMENT PUBLIC HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN LIEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-573-6707
Mailing Address - Street 1:619 ANN AVE
Mailing Address - Street 2:HEALTH DEPARTMENT
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-3038
Mailing Address - Country:US
Mailing Address - Phone:913-573-6704
Mailing Address - Fax:913-321-7932
Practice Address - Street 1:619 ANN AVE
Practice Address - Street 2:HEALTH DEPARTMENT
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-3038
Practice Address - Country:US
Practice Address - Phone:913-573-6724
Practice Address - Fax:913-321-7932
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIFIED GOVERNMENT OF WYANDOTTE COUNTY-KANSAS CITY KANSAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-13
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS481194075-AOtherHUMANA
KSP00218851OtherRAILROAD PALMETTO GBA
KS100260230GMedicaid
KS100260930BOtherUNICARE
KS100260930BMedicaid
KS100222000BMedicaid
KS1902819097Medicaid
KS201239010AMedicaid
KS460091OtherCM FAMILY HEALTH PARTNERS