Basic Information
Provider Information
NPI: 1912423260
EntityType: 2
ReplacementNPI:  
OrganizationName: TOPEKA HOSPITAL, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: THE UNIVERSITY OF KANSAS HEALTH SYSTEM, ST. FRANCIS CAMPUS
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 BURTON HILLS BLVD STE 250
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372156195
CountryCode: US
TelephoneNumber: 6152963000
FaxNumber: 6152966227
Practice Location
Address1: 1700 SW 7TH ST
Address2:  
City: TOPEKA
State: KS
PostalCode: 666062489
CountryCode: US
TelephoneNumber: 7852958000
FaxNumber: 7852955491
Other Information
ProviderEnumerationDate: 08/18/2017
LastUpdateDate: 08/18/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: PETROVICH
AuthorizedOfficialFirstName: STEPHEN
AuthorizedOfficialMiddleName: C
AuthorizedOfficialTitleorPosition: EVP
AuthorizedOfficialTelephone: 6152963000
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: TOPEKA HEALTH SYSTEM, LLC
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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