| Adventhealth Shawnee Mission Ip Psych | |
|
9100 W 74th St Merriam KS 66204-4004 | |
| (913) 676-2000 | |
| (913) 676-7571 |
| Full Name | Adventhealth Shawnee Mission Ip Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 9100 W 74th St, Merriam, Kansas |
| Authorized Official Name and Position | Karsten G Randolph (EXECUTIVE VP & CFO) |
| Authorized Official Contact | 9136762152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventhealth Shawnee Mission Ip Psych 9100 W 74th St Merriam KS 66204-4004 Ph: (913) 676-2000 | Adventhealth Shawnee Mission Ip Psych 9100 W 74th St Merriam KS 66204-4004 Ph: (913) 676-2000 |
| NPI Number | 1720142565 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 02/11/2019 |
| Medicare PECOS PAC ID | 1153239298 |
|---|---|
| Medicare Enrollment ID | O20181218002591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720142565 | NPI | - | NPPES |
| 100017 | Other | FH HEALTH CARE SYSTEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H046004 (Kansas) | Primary |
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