COMMUNITY BLOOD CENTER OF GREATER KANSAS CITY (NPI# 1104036847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104036847 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BLOOD CENTER OF GREATER KANSAS CITY |
| Practice Address |
4040 Main St Kansas City MO 64111-2308 |
| Practice Telephone | 8167534040 |
| Practice Fax Number | 8169684430 |
| Mailing Telephone | 8167534040 |
| Mailing Fax Number | 8169684430 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAY E MENITOVE (MEDICAL DIRECTOR EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8167534040 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 331L00000X | Blood Bank | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY BLOOD CENTER OF GREATER KANSAS CITY | 4040 Main St, Kansas City, MO 64111-2308 |
| Street Address |
4040 MAIN ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447466420 | Jay E Menitove | Pathology | 4040 Main St, Kansas City, MO 64111-2308 | 2007-05-15 |
| 1891114633 | Carolyn Taylor | Registered Nurse | 4040 Main St, Kansas City, MO 64111-2308 | 2014-04-09 |
| 1457624603 | Kimberly Miller | Registered Nurse | 4040 Main St, Kansas City, MO 64111-2308 | 2012-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 331L00000X |
| Grouping | Suppliers |
| Classification | Blood Bank |
| An institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation. |
| Notes: Source: American Association of Blood Banks, Standards for Blood Banks and Tranfusion, 17th ed. |
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on COMMUNITY BLOOD CENTER OF GREATER KANSAS CITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.