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SHAWNEE MISSION MEDICAL CENTER INC. NPI 1265962286


NPI Information

NPI: 1265962286
Provider Name: SHAWNEE MISSION MEDICAL CENTER, INC.

Doing Business As: SM URGENT CARE

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 17D0996467

Address:
14744 W 119TH ST
OLATHE, KS
ZIP 66062
Phone: (913) 839-1759
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SHAWNEE MISSION MEDICAL CENTER, INC. is a non pharmacy dispensing site in Olathe, KS. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SHAWNEE MISSION MEDICAL CENTER, INC. NPI is 1265962286. The provider is registered as an organization entity type.
The provider Is Doing Business As Sm Urgent Care.

The provider's business location address is:

14744 W 119TH ST
OLATHE, KS
ZIP 66062-602
Phone: (913) 839-1759
Fax: (913) 839-9588

The provider's authorized official is Karsten Randolph .
The authorized official title is Cfo & Evp and has the following contact phone number (913) 676-2152.

The CLIA number assigned to this NPI record is 17D0996467 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/13/2017 and was last updated on 6/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.