Provider Demographics
NPI:1952512832
Name:KANSAS MEDICAL CENTER, LLC
Entity Type:Organization
Organization Name:KANSAS MEDICAL CENTER, LLC
Other - Org Name:ANDOVER ANESTHESIA CARE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:POSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:316-300-4026
Mailing Address - Street 1:1124 W. 21ST ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002
Mailing Address - Country:US
Mailing Address - Phone:316-300-4036
Mailing Address - Fax:316-300-4040
Practice Address - Street 1:1124 W. 21ST ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002
Practice Address - Country:US
Practice Address - Phone:316-300-4036
Practice Address - Fax:316-300-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSDF5382OtherRRMEDICARE
KS111275Medicare PIN