Organization
SM CORPORATE CARE LLC
Active
Parent organization
SHAWNEE MISSION MEDICAL CENTER INC
Other names
Corporate Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWNEE MISSION MEDICAL CENTER INC
Authorized official
KARSTEN G RANDOLPH (EXEC VP & CFO)
(913) 676-2152
Entity
Organization
Contact information
Practice address
9040 QUIVIRA RD, LENEXA, KS 66215-3902
(913) 492-9675
(913) 438-8726
Mailing address
7315 E. FRONTAGE RD, SUITE 202, SHAWNEE MISSION, KS 66204-1658
(913) 676-2489
(913) 676-2680
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
12/18/2014
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