Provider Demographics
NPI:1144266115
Name:OLATHE MEDICAL CENTER INC
Entity type:Organization
Organization Name:OLATHE MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VICE PRESIDENT FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIERNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRASSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-791-4461
Mailing Address - Street 1:20333 W 151ST ST
Mailing Address - Street 2:ATTN TIERNEY L GRASSER SR VICE PRESIDENT FINANCE
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5350
Mailing Address - Country:US
Mailing Address - Phone:913-791-4200
Mailing Address - Fax:913-324-8656
Practice Address - Street 1:20333 W 151ST ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-5350
Practice Address - Country:US
Practice Address - Phone:913-791-4200
Practice Address - Fax:913-324-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH046002282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100099250AMedicaid
KS170049Medicare Oscar/Certification