Providence Care an Operating Division of Providence Medical Ctr
Providence Care an Operating Division of Providence Medical Ctr provides General Practice Physician services in Bonner Springs, Kansas. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
913 Sheidley AveBonner Springs, KS 66012-9514 Not confirmed with CMS for 14 years — call before visiting
Phone: (913) 322-7222
Fax: (913) 322-7284
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1700921970 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Medical Center |
| Authorized official | Randall Nyp — President/Ceo · (913) 596-4000 |
| NPI enumerated | February 21, 2007 |
| Last updated in NPPES | April 20, 2012 |
| Mailing address | Dept Ch 14363, Palatine, IL 60055-4363 |