PROVIDENCE MEDICAL CENTER
NPI 1639624364
Skilled Nursing Facility in Kansas City, KS

Active since August 23, 2016CLIA 17D0448945 · Accreditation
8929 PARALLEL PKWY, KANSAS CITY, KS 66112(913) 596-3229 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE MEDICAL CENTER (NPI 1639624364) is a healthcare organization registered as a skilled nursing facility in Kansas City, Kansas and active in the NPI registry since August 2016. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Christopher Doan, Chief Compliance Counsel, as its authorized official.

NPPES Registry Identity

NPI1639624364
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRIME HEALTHCARE SERVICES-PROVIDENCE, LLC
Location Address8929 PARALLEL PKWYKansas City, KS 66112-1689
Mailing Address8929 Parallel PkwyKansas City, KS 66112-1689 · (913) 596-3229
Organization SubpartNo
Authorized OfficialChristopher DoanChief Compliance Counsel · (909) 235-4307
Enumeration DateAugust 23, 2016
NPI 1639624364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in KS · N105013
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

8929 PARALLEL PKWY, Kansas City, KS 66112

Other Names 1

Doing Business AsProvidence Medical Center

Other Identifiers 1

OtherH-105-003KS · Hospital License

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 17D0448945

Providence Medical Center · Kansas City, KS
Active · expires Feb 27, 2027
CLIA Number17D0448945
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorJason-Scott Holly
Laboratory Phone(913) 596-4711
Laboratory LocationProvidence Medical Center8929 Parallel Parkway, Kansas City, KS 66112
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
8929 PARALLEL PKWY
KANSAS CITY, KS 66112
Physician Assistant
8929 PARALLEL PKWY
KANSAS CITY, KS 66112
Internal Medicine
8929 PARALLEL PKWY
KANSAS CITY, KS 66112
Family Medicine
8929 PARALLEL PKWY
KANSAS CITY, KS 66112
Internal Medicine
8929 PARALLEL PKWY
KANSAS CITY, KS 66112
Clinical Medical Laboratory
8929 PARALLEL PKWY
KANSAS CITY, KS 66112
Speech-Language Pathologist
8929 PARALLEL PKWY
KANSAS CITY, KS 66112
Family Medicine
8929 PARALLEL PKWY
KANSAS CITY, KS 66112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Healthcare Services-Providence, LLC's NPI number?

The NPI number for Prime Healthcare Services-Providence, LLC is 1639624364. It was assigned to this organization in the NPPES registry on August 23, 2016. The provider is doing business as Providence Medical Center.

Where is Prime Healthcare Services-Providence, LLC located?

Prime Healthcare Services-Providence, LLC is located at 8929 Parallel Pkwy, Kansas City, KS 66112. The listed phone number is (913) 596-3229.

What is Prime Healthcare Services-Providence, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Prime Healthcare Services-Providence, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 17D0448945) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prime Healthcare Services-Providence, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Prime Healthcare Services-Providence, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prime Healthcare Services-Providence, LLC was last updated on August 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.