Provider Demographics
NPI:1770098485
Name:MIDWEST DIVISION - LSH, LLC
Entity type:Organization
Organization Name:MIDWEST DIVISION - LSH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-698-8170
Mailing Address - Street 1:600 NW MURRAY RD STE 111
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-1238
Mailing Address - Country:US
Mailing Address - Phone:816-282-5548
Mailing Address - Fax:816-282-5817
Practice Address - Street 1:600 NW MURRAY RD STE 111
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-1238
Practice Address - Country:US
Practice Address - Phone:816-282-5548
Practice Address - Fax:816-282-5817
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDWEST DIVISION - LSH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic