Organization
SHAWNEE MISSION MEDICAL CENTER INC
Active
Parent organization
SHAWNEE MISSION MEDICAL CENTER INC
Other names
Shawnee Mission Health Overland Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWNEE MISSION MEDICAL CENTER INC
Authorized official
MR. KARSTEN RANDOLPH (EXECUTIVE VP & CFO)
(913) 676-2000
Entity
Organization
Contact information
Practice address
7820 W 165TH STREET, OVERLAND PARK, KS 66223
(913) 676-2000
Mailing address
7820 W 165TH STREET, OVERLAND PARK, KS 66223
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H046004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093850A
—
KS
01
—
90003016
BLUE CROSS
KS
Enumeration date
12/21/2016
Last updated
12/21/2016
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