Healthcare Provider Details

I. General information

NPI: 1689584922
Provider Name (Legal Business Name): SHAWNEE MISSION MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23401 PRAIRIE STAR PKWY STE B100
LENEXA KS
66227-7268
US

IV. Provider business mailing address

9100 W 74TH ST
SHAWNEE MISSION KS
66204-4004
US

V. Phone/Fax

Practice location:
  • Phone: 913-676-8501
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE ROSENTRETER
Title or Position: CFO
Credential:
Phone: 913-579-7821