Basic Information
| Provider Information | |||||||||
| NPI: | 1316536253 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADVENTHEALTH SOUTH OVERLAND PARK, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7820 W 165TH ST | ||||||||
| Address2: | |||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662232925 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9133731100 | ||||||||
| FaxNumber: | 9137893867 | ||||||||
| Practice Location | |||||||||
| Address1: | 7820 W 165TH ST | ||||||||
| Address2: | |||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662232925 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9133731100 | ||||||||
| FaxNumber: | 9137893867 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2021 | ||||||||
| LastUpdateDate: | 08/12/2022 | ||||||||
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| AuthorizedOfficialLastName: | PRUSIA | ||||||||
| AuthorizedOfficialFirstName: | JEFFREY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 9137893935 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 03/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.