Healthcare Provider Details

I. General information

NPI: 1356272033
Provider Name (Legal Business Name): SHOW-ME SCHOOL BASED HEALTH ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11110 W 109TH ST
OVERLAND PARK KS
66210-1288
US

IV. Provider business mailing address

11110 W 109TH ST
OVERLAND PARK KS
66210-1288
US

V. Phone/Fax

Practice location:
  • Phone: 816-674-9168
  • Fax:
Mailing address:
  • Phone: 816-674-9168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. PERRY HILVITZ
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 816-674-9168