Organization
SHAWNEE MISSION MEDICAL CENTER
Active
Parent organization
SHAWNEE MISSION MEDICAL CENTER
Other names
SMMC EMERGENCY PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWNEE MISSION MEDICAL CENTER
Authorized official
SAMUEL TURNER (CEO)
(913) 234-1350
Entity
Organization
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2214
(913) 789-3106
Mailing address
15980 COLLECTION CENTER DR, CHICAGO, IL 60693-0159
(913) 234-1350
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007000A
—
KS
05
—
507414308
—
MO
Enumeration date
05/11/2007
Last updated
02/12/2010
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