Healthcare Provider Details

I. General information

NPI: 1881742807
Provider Name (Legal Business Name): MIAMI COUNTY MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 BAPTISTE DR
PAOLA KS
66071-1314
US

IV. Provider business mailing address

2100 BAPTISTE DR
PAOLA KS
66071-1314
US

V. Phone/Fax

Practice location:
  • Phone: 913-445-2327
  • Fax: 913-294-2167
Mailing address:
  • Phone: 913-445-2327
  • Fax: 913-294-9897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE WIENS
Title or Position: CHIEF COMPLIANCE OFFICER SWKC
Credential:
Phone: 913-445-4459