Provider Demographics
NPI:1174077465
Name:MIDAMERICA NAZARENE UNIVERSITY
Entity type:Organization
Organization Name:MIDAMERICA NAZARENE UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HUMAN RESOURCES
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MERIMEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-971-3427
Mailing Address - Street 1:19365 W 105TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7526
Mailing Address - Country:US
Mailing Address - Phone:913-523-5917
Mailing Address - Fax:
Practice Address - Street 1:2030 E COLLEGE WAY
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1851
Practice Address - Country:US
Practice Address - Phone:913-971-3383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty