# HARRISONVILLE FAMILY MEDICINE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891715652
- **Authorized official:** SHAUN HOLDEN M.D. (PRESIDENT)
- **Authorized official phone:** (816) 380-3582

## Contact information

- **Practice address:** 2820 E ROCK HAVEN RD, SUITE 100, HARRISONVILLE, MO 64701-4411
- **Practice address phone:** (816) 380-3582
- **Practice address fax:** (816) 380-6964
- **Mailing address:** 2820 E ROCK HAVEN RD, SUITE 100, HARRISONVILLE, MO 64701-4411
- **Mailing address phone:** (816) 380-3582
- **Mailing address fax:** (816) 380-6964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | MO | — |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 01/13/2026