Ku Medwest Ambulatory Surgery Center, Llc

LBN: Ku Medwest Ambulatory Surgery Center, Llc
Ku Medwest Ambulatory Surgery Center, Llc is an health care organization with primary practice located at 7405 Renner Rd , Shawnee KS 66217-9414. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Ku Medwest Ambulatory Surgery Center, Llc can be contacted via phone (913) 588-8411, or through Grantham, David L via phone (913) 588-8403.

Contact Information

Primary practice address
7405 Renner Rd Shawnee KS 66217-9414
Phone: (913) 588-8411
Fax: (913) 588-8432
Website:
Map and Directions
Authorized official contact:
Name: Grantham, David L RN, BSN, MBA
Phone: (913) 588-8403

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X S-046-011 Kansas

Profile Details

NPI number 1619971082
LBN Legal business name Ku Medwest Ambulatory Surgery Center, Llc
DBA Doing business as
Authorized official Grantham, David L RN, BSN, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Jun 25th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619971082 NPPES
Kansas MEDICAID 100458080A

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