Organization
SHAWNEE MISSION MEDICAL CENTER, INC.
Active
Parent organization
SHAWNEE MISSION MEDICAL CENTER, INC.
Other names
AdventHealth Centra 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
11245 SHAWNEE MISSION PARKWAY, SHAWNEE, KS 66203-3333
(913) 268-4455
(913) 268-4493
Mailing address
11245 SHAWNEE MISSION PARKWAY, SHAWNEE, KS 66203-3333
(913) 268-4455
(913) 268-4493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
11/18/2019
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