Provider Demographics
NPI:1811277999
Name:METROCARE OF GREATER KANSAS CITY
Entity type:Organization
Organization Name:METROCARE OF GREATER KANSAS CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-531-8432
Mailing Address - Street 1:315 NICHOLS RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1511
Mailing Address - Country:US
Mailing Address - Phone:816-531-8432
Mailing Address - Fax:816-531-8438
Practice Address - Street 1:315 NICHOLS RD
Practice Address - Street 2:SUITE 250
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1511
Practice Address - Country:US
Practice Address - Phone:816-531-8432
Practice Address - Fax:816-531-8438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management