# SHAWNEE MISSION MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHAWNEE MISSION MEDICAL CENTER, INC.
- **Other names:** SM Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265962286
- **Legal business name:** SHAWNEE MISSION MEDICAL CENTER, INC.
- **Authorized official:** KARSTEN RANDOLPH (CFO & EVP)
- **Authorized official phone:** (913) 676-2152

## Contact information

- **Practice address:** 14744 W 119TH ST, OLATHE, KS 66062-8602
- **Practice address phone:** (913) 839-1759
- **Practice address fax:** (913) 839-9588
- **Mailing address:** 7315 E FRONTAGE RD STE 101, MERRIAM, KS 66204-1658
- **Mailing address phone:** (913) 789-3938
- **Mailing address fax:** (913) 789-3867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 06/13/2017