Provider Demographics
NPI:1942247044
Name:CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC
Entity Type:Organization
Organization Name:CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-698-7001
Mailing Address - Street 1:19600 E 39TH ST S
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-2301
Mailing Address - Country:US
Mailing Address - Phone:816-698-7000
Mailing Address - Fax:816-836-6603
Practice Address - Street 1:19600 E 39TH ST S
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2301
Practice Address - Country:US
Practice Address - Phone:816-698-7000
Practice Address - Fax:816-836-6603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
40903OtherHEALTHCARE USA
ND01689Medicaid
KS100644370AMedicaid
356792200OtherDEPT OF LABOR
NM56534884Medicaid
MO010670107Medicaid
515500OtherFIRST GUARD
700450OtherFAMILY HEALTH PARTNERS
90029030OtherBLUE CROSS
515500OtherFIRST GUARD